Active NPI
Kavita Bakthavatsalam Rao, M.D.
- Internal Medicine Physician
- Saint Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME89679
- Practice address
- 4957 38TH Avenue North
Suite C
Saint Petersburg, FL 33710-2174 - Phone
- (727) 525-0900
- Fax
- (727) 525-9500
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301072100 | MI | |
| Internal Medicine Physician | 207R00000X | ME89679 | FL | Primary |
Addresses
Primary practice location
4957 38TH Avenue North
Suite C
Saint Petersburg, FL 33710-2174
Mailing address
4957 38TH Avenue North
Suite C
Saint Petersburg, FL 33710-2174
Phone (727) 525-0900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277550600 | Medicaid | FL | |
| 4596992-10 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
1173 Turner St
Clearwater, FL 33756-4135
Phone 7272988496210
4957 38TH Ave N
Suite C
St Petersburg, FL 33710-2174
Phone (727) 525-0900
6280 Central Ave
St Petersburg, FL 33707-1429
Phone (800) 699-9395
Hospital & facility affiliations
- HCA Florida Largo Hospital
- Morton Plant Hospital
- St Josephs Hospital
- St Anthonys Hospital
- HCA Florida St Petersburg Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME89679 | FL | MD | Internal Medicine Physician |
| 4301072100 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospitalists of Pinella | Current | Accepting new patients | |
| Gulf Coast Internist, LLC. | Internal Medicine | Current | Accepting new patients |
| Sunstate Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Elias Kanaan MD PA | Internal Medicine | Past | Accepting new patients |
| Promed Ipa LLC | Internal Medicine | Past | Accepting new patients |
| Oakwood Healthcare, Inc. | Past | Accepting new patients | |
| Oakwood Healthcare Inc | Past | Accepting new patients |
Locations
2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
1173 Turner St
Clearwater, FL 33756
Phone (727) 298-8496
801 West Bay Dr
Ste 321
Largo, FL 33770
Phone (561) 302-6086
4957 38th Ave N
Ste C
St Petersburg, FL 33710
Phone (727) 521-4402
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHIJBA
- https://fhir4.healow.com/fhir/r4/ADDJAA
- https://fhir4.healow.com/fhir/r4/HHIJBA/Endpoint/HHIJBA
- kavita.rao@gcillc.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1215910260
-
- Internal Medicine Physician
- Saint Petersburg, FL
- NPI 1114155355
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1538177928
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1457218596
-
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1518911031
-
- General Acute Care Hospital
- Largo, FL
- NPI 1144274879
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1083684153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4957 38TH AVENUE NORTH",
"address_2": "SUITE C",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337102174",
"telephone_number": "727-525-0900",
"fax_number": "727-525-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4957 38TH AVENUE NORTH",
"address_2": "SUITE C",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337102174",
"telephone_number": "727-525-0900",
"fax_number": "727-525-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "KAVITA",
"middle_name": "BAKTHAVATSALAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301072100",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME89679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277550600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4596992-10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.