Individual provider Active NPI

Jessica B Kral, MD

  • Pediatrics Physician
  • Saint Cloud, FL
National Provider Identifier
1013402601
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME149557 Issued in FL
Practice address
933 Brown Chapel Rd
Saint Cloud, FL 34769-2043
Phone
(407) 593-2883
Fax
(407) 593-2884
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME149557 FL Primary

Addresses

Primary practice location

933 Brown Chapel Rd
Saint Cloud, FL 34769-2043

Mailing address

933 Brown Chapel Rd
Saint Cloud, FL 34769-2043
Phone (407) 593-2883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME149557FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tots & Teens Pediatrics, LLC Single Specialty CurrentSince Nov 20, 2022 Accepting new patients

Locations

4691 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (407) 271-3430

933 Brown Chapel Rd
Saint Cloud, FL 34769
Phone (407) 593-2883

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAFCDA/Endpoint/AAFCDA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1013402601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BROWN CHAPEL RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347692043",
            "telephone_number": "407-593-2883",
            "fax_number": "407-593-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 BROWN CHAPEL RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347692043",
            "telephone_number": "407-593-2883",
            "fax_number": "407-593-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAL",
        "first_name": "JESSICA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME149557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.