Individual provider Active NPI

Kathryn Lucille Kepes, MD

  • Radiation Oncology Physician
  • Plant City, FL
National Provider Identifier
1144225244
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME0045273 Issued in FL
Practice address
303 N Alexander St
Plant City, FL 33563-4303
Phone
(813) 719-7705
Fax
(813) 719-7906
NPI assigned
Jun 15, 2005
Last updated
Aug 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME0045273 FL Primary

Addresses

Primary practice location

303 N Alexander St
Plant City, FL 33563-4303

Mailing address

303 N Alexander St
Plant City, FL 33563-4303
Phone (813) 719-7705

Other identifiers 2

IdentifierTypeStateIssuer
008130800MedicaidFL
30766OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Radiation Oncology of Tampa Bay, Inc Radiation Oncology PastSince Nov 1, 2002 Accepting new patients
Center for Radiation Oncology Inc Radiation Oncology PastSince Jul 24, 2000 Accepting new patients
Tampa Bay Radiation Oncology, PA Radiation Oncology Past Accepting new patients
Center for Radiation Oncology of Tampa Bay in Radiation Oncology PastSince Jul 26, 2000 Accepting new patients
Center for Radiation Oncology of Tampa Bay in Radiation Oncology PastSince May 1, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/_equjXi-I6k5_iN9ulQyh3xNMVDgQ7-w/

Organizations & group practices 6

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1144225244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634303",
            "telephone_number": "813-719-7705",
            "fax_number": "813-719-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634303",
            "telephone_number": "813-719-7705",
            "fax_number": "813-719-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPES",
        "first_name": "KATHRYN",
        "middle_name": "LUCILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME0045273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008130800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30766",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.