Brian Thomas Kalsto, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9114973 Issued in FL

Practice address

225 E 7TH St
Apopka, FL 32703-5327

Phone

(407) 905-8827

Fax

(407) 886-4282

NPI assigned

Oct 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of South Florida College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shardae Tripp Counseling LLCGroup PAC ID 5496101784, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Shardae Tripp Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Saint Lucie, FL
  • NPI 1801583646
  Medicare reassignment Care Compare group
• Community Health Centers, Inc

  • Community/Retail Pharmacy
  • Apopka, FL
  • NPI 1134258684
  Medicare reassignment
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1396829677
  NPD
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1710259965
  NPD
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1831273119
  NPD
• Impower, Inc

  • Community/Behavioral Health Agency
  • Longwood, FL
  • NPI 1104910868
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1053073379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 7TH ST",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035327",
            "telephone_number": "407-905-8827",
            "fax_number": "407-886-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 7TH ST",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035327",
            "telephone_number": "407-905-8827",
            "fax_number": "407-886-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALSTO",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9114973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Joseph, RBT
• Journey Care LLC
• Francheska Michelle Juarbe Sanchez, SLP
• Christina Marie Judge
• Paul Wei Jueng, MD
• Rochelle Kamp, RN
• Tahina Karim, PHARMD
• Daphne Addison Katz, DC
• Jasmeet J Kaur, M.D.
• Kay Merrill Inc

• Physician Assistant in Apopka, FL
• Providers in Apopka, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.