Individual provider Active NPI

Kenneth J Koval, MD

  • Orthopaedic Trauma Physician
  • Orlando, FL
National Provider Identifier
1144256041
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
ME109050 Issued in FL
Practice address
1222 S Orange Ave
Orlando, FL 32806-1215
Phone
(407) 649-6878
Fax
(321) 843-7381
NPI assigned
Jun 23, 2006
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME109050 FL
Orthopaedic Trauma Physician 207XX0801X 54804 KY
Orthopaedic Trauma Physician 207XX0801X 12209 NH
Orthopaedic Trauma Physician 207XX0801X ME109050 FL Primary

Addresses

Primary practice location

1222 S Orange Ave
Orlando, FL 32806-1215

Mailing address

1222 S Orange Ave
Orlando, FL 32806-1215
Phone (407) 649-6878

Other practice location 1

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 218-6406

Other practice location 2

1301 Pleasant Valley Rd Ste 500B
Owensboro, KY 42303-9774
Phone (270) 417-7940

Other identifiers 2

IdentifierTypeStateIssuer
1010105MedicaidVT
30203937MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkoval21922@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY, ME3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110503000424 FL Practitioner - Orthopedic Surgery 9638079296 Reassigns benefits to 6 organizations
I20210122001162 KY Practitioner - Orthopedic Surgery 9638079296 Reassigns benefits to 2 organizations
I20240405003278 ME Practitioner - Orthopedic Surgery 9638079296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
The Orthopaedic Institute, PAGroup PAC ID 2860385242, 113 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

11962 County Rd
The Villages, FL 32162-9336
Phone (352) 693-3378

1710 SE 16TH Ave
Ocala, FL 34471-4656
Phone (352) 620-1900

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

690 Minot Ave
Suite 1
Auburn, ME 04210-3922
Phone (207) 783-1328

911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109050FLMDOrthopaedic Surgery Physician
12209NHMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Jan 25, 2024 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Central Maine Medical Center CurrentSince Jan 25, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Jun 19, 2015 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Mar 17, 2011 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince May 13, 2023 Accepting new patients
Health First Physician Specialties Inc Orthopaedic Trauma CurrentSince Nov 1, 2015 Accepting new patients
Baycare Medical Group, Inc CurrentSince Nov 25, 2025 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Jan 9, 2021 Accepting new patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Mar 8, 2022 Accepting new patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Mar 8, 2022 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Nov 25, 2025 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Mar 17, 2011 Accepting new patients
Central Maine Medical Center Current Accepting new patients
The Orthopaedic Institute PA Orthopaedic Surgery CurrentSince Nov 12, 2025 Accepting new patients
Health First Medical Group, LLC Orthopaedic Surgery CurrentSince Jun 19, 2015 Accepting new patients
Owensboro Health Medical Group, Inc. Orthopaedic Surgery CurrentSince May 13, 2023 Accepting new patients
Pikeville Medical Center Inc CurrentSince Jan 9, 2021 Accepting new patients
The Orthopaedic Institute, PA Orthopaedic Surgery CurrentSince Nov 12, 2025 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014

6800 Southpoint Pkwy
Ste 300
Jacksonville, FL 32216

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1350 Hickory St
Ste 101
Melbourne, FL 32901
Phone (321) 434-1401

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

1710 SE 16th Ave
Ocala, FL 34471
Phone (352) 620-1900

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

2727 W Mlk Blvd
Ste 320
Tampa, FL 33607
Phone (813) 877-6748

8745 N Wickham Rd
Viera, FL 32940
Phone (321) 434-7191

1301 Pleasant Valley Rd
Ste 500B
Owensboro, KY 42303
Phone (270) 417-7940

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

690 Minot Ave
#1
Auburn, ME 04210
Phone (207) 783-1328

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: kkoval21922@pikevillekydirect.org
  • Direct secure messaging: kkoval5284707@direct.casso.us.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 9

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1144256041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "407-649-6878",
            "fax_number": "321-843-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "407-649-6878",
            "fax_number": "321-843-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-218-6406",
            "fax_number": "606-218-7506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Pleasant Valley Rd Ste 500B",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039774",
            "country_code": "US",
            "telephone_number": "270-417-7940",
            "fax_number": "270-417-7949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME109050",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "KY",
            "license": "54804",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NH",
            "license": "12209",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "ME109050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010105",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203937",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkoval21922@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.