Active NPI
Samantha Kalakurthy, MD
- Nephrology Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME133567
- Practice address
- 1921 Waldemere St Ste 306
Sarasota, FL 34239 - Phone
- (913) 283-8063
- Fax
- (913) 238-8854
- NPI assigned
- Jul 17, 2007
- Last updated
- Aug 22, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 0433257 | KS | |
| Hospitalist Physician | 208M00000X | D0069457 | MD | |
| Hospitalist Physician | 208M00000X | 0101256679 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | ME133567 | FL | Primary |
Addresses
Primary practice location
1921 Waldemere St Ste 306
Sarasota, FL 34239
Mailing address
1921 Waldemere St Ste 306
Sarasota, FL 34239-2941
Phone (941) 917-8722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023392600 | Medicaid | FL |
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
- Nephrology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1921 Waldemere St
Suite 306
Sarasota, FL 34239-2941
Phone (941) 917-8722
Hospital & facility affiliations
- FMC - Sarasota Coastal Dialysis Center
- Fresenius Kidney Care Sarasota Trails
- FMC - North Sarasota Dialysis Center
- Sarasota Memorial Hospital
- HCA Florida Sarasota Doctors Hospital
- Sarasota Memorial Hospital - Venice
- Lakewood Ranch Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.55 of 100
- Quality
- 77.37
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0069457 | MD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney Physicians , LLC | Nephrology | Current | Accepting new patients |
| Florida Kidney Physicians, LLC | Nephrology | Current | Accepting new patients |
Locations
1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
929 S Tamiami Trl
Ste 203
Osprey, FL 34229
Phone (941) 917-7197
1921 Waldemere St
Ste 306
Sarasota, FL 34239
Phone (941) 917-8722
5350 University Pkwy
Ste 207
Sarasota, FL 34243
Phone (941) 917-4250
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
- samantha.kalakurthy.1@15644.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Sarasota Coastal Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sarasota, FL
- NPI 1578963211
Dialysis facility
-
dba Fresenius Kidney Care Sarasota Trails
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sarasota, FL
- NPI 1720599871
Dialysis facility
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1730179714
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
dba HCA Florida Sarasota Doctors Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1124227319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 WALDEMERE ST STE 306",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392941",
"telephone_number": "941-917-8722",
"fax_number": "941-917-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 WALDEMERE ST STE 306",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34239",
"telephone_number": "913-283-8063",
"fax_number": "913-238-8854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALAKURTHY",
"first_name": "SAMANTHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KS",
"license": "0433257",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D0069457",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101256679",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME133567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023392600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.