Active NPI
Kenneth J Koval, MD
- Orthopaedic Trauma Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- ME109050
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010105 | Medicaid | VT | |
| 30203937 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkoval21922@PIKEVILLEKYDIRECT.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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 Inc
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
- Vitalcaring Group
- HCA Florida Healthcare at Home
- Marion Communtiy Hospital
- Pikeville Medical Center
- Villages Regional Hospital, the
- Uf Health Leesburg Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME109050 | FL | MD | Orthopaedic Surgery Physician |
| 12209 | NH | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Health First Physician Specialties Inc | Orthopaedic Trauma | Current | Accepting new patients |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Southeast Orthopedic Specialists, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| The Orthopaedic Institute PA | Orthopaedic Surgery | Current | Accepting new patients |
| Health First Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| The Orthopaedic Institute, PA | Orthopaedic Surgery | Current | 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
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- kkoval21922@pikevillekydirect.org
- 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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
dba The Orthopaedic Institute
- Orthopaedic Surgery Physician
- Gainesville, FL
- NPI 1740373547
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Orthopaedic Surgery
-
- Orthopaedic Trauma Physician
- Melbourne, FL
- NPI 1336390020
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1629025820
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba VitalCaring Group
- Home Health Agency
- Crystal River, FL
- NPI 1083614119
-
dba HCA Florida Healthcare at Home
- Home Health Agency
- The Villages, FL
- NPI 1679721625
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
dba HCA Florida Ocala Hospital
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
-
dba UF Health Spanish Plaines Hospital
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.