Individual provider Active NPI

Kurt N Harris, M.D.

  • Internal Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1053308270
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME68508 Issued in FL
Practice address
3820 Tampa Rd
#202
Palm Harbor, FL 34684-3609
Phone
(727) 785-4540
Fax
(727) 784-9724
NPI assigned
Oct 3, 2005
Last updated
Feb 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME68508 FL Primary

Addresses

Primary practice location

3820 Tampa Rd
#202
Palm Harbor, FL 34684-3609

Mailing address

3820 Tampa Rd
Suite 202
Palm Harbor, FL 34684-3609
Phone (727) 785-4540

Other identifiers 2

IdentifierTypeStateIssuer
49436OtherFLBCBS
33310OtherFLBCBS GROUP

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825001477 FL Practitioner - Internal Medicine 2062486897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Point Medical Associates Inc Internal Medicine CurrentSince Jun 1, 2004 Accepting new patients
Florida Medical Associates LLC PastSince Apr 3, 2023 Accepting new patients
Primary Medical Care R Ayala MD PA PastSince Jul 20, 2009 Accepting new patients

Locations

3820 Tampa Rd
Ste 202
Palm Harbor, FL 34684
Phone (727) 785-4540

9550 US Highway 19
Ste 20
Port Richey, FL 34668
Phone (727) 310-0188

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1053308270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 TAMPA RD",
            "address_2": "SUITE 202",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843609",
            "telephone_number": "727-785-4540",
            "fax_number": "727-784-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 TAMPA RD",
            "address_2": "#202",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843609",
            "telephone_number": "727-785-4540",
            "fax_number": "727-784-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KURT",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME68508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49436",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "33310",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.