Gulf Coast Internist, LLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GULF COAST INTERNIST, LLC.

Practice address

4957 38TH Ave N
Suite C
Saint Petersburg, FL 33710-2174

Phone

(727) 525-0900

Fax

(727) 525-9500

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Kavita B Rao, M.D.NPI 1083684153

Title

MGRM

Phone

(727) 748-5699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kavita Bakthavatsalam Rao, M.D.

  • Internal Medicine Physician
  • Saint Petersburg, FL
  • NPI 1083684153
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1114155355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 38TH AVE N",
            "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 AVE N",
            "address_2": "SUITE C",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337102174",
            "telephone_number": "727-525-0900",
            "fax_number": "727-525-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST INTERNIST, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "727-748-5699",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yukti Gulati, D.D.S
• Gulf Aviation Services II, LLC
• Gulf Aviation Services, LLC
• Gulf Breeze Home Health, Inc.
• Gulf Coast Family Wellness LLC
• Gulf Coast Jewish Family Services
• Gulf Coast Psychiatry PLLC
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulfcoast Anesthesia Partners LLP

• Internal Medicine Physician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.