Individual provider Active NPI

Kiran Tirumalasetty

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1104480854
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME156858 Issued in FL
Practice address
9332 State Road 54 Ste 202
New Port Richey, FL 34655-1810
Phone
(727) 597-4441
Fax
(727) 597-4445
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 ME156858 FL Primary

Addresses

Primary practice location

9332 State Road 54 Ste 202
New Port Richey, FL 34655-1810

Mailing address

9332 State Road 54 Ste 202
New Port Richey, FL 34655-1810
Phone (727) 597-4441

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
I20220712002755 FL Practitioner - Internal Medicine 3779963459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9332 Sr
54 Suite 202
New Port Richey, FL 34655-1810
Phone (727) 597-4441

Hospital & facility affiliations

  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kiran Tirumalasetty LLC Internal Medicine CurrentSince Jun 8, 2022 Accepting new patients

Locations

9332 State Road 54
Ste 202
Trinity, FL 34655
Phone (727) 597-4441

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1104480854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 202",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-597-4441",
            "fax_number": "727-597-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 202",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-597-4441",
            "fax_number": "727-597-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRUMALASETTY",
        "first_name": "KIRAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME156858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.