Individual provider Active NPI

Karen M Rafferty, MD

  • Anesthesiology Physician
  • Vero Beach, FL
National Provider Identifier
1154446078
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME 109681 Issued in FL
Practice address
1255 37TH St
Suite E
Vero Beach, FL 32960-6550
Phone
(772) 299-0033
NPI assigned
Mar 20, 2007
Last updated
Feb 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 08622 RI
Anesthesiology Physician 207L00000X ME 109681 FL Primary

Addresses

Primary practice location

1255 37TH St
Suite E
Vero Beach, FL 32960-6550

Mailing address

7955 Spyglass Hill Rd
Ste a
Melbourne, FL 32940-8249
Phone (207) 214-5698

Other identifiers 2

IdentifierTypeStateIssuer
005922000MedicaidFL
14K3XOtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Karen M Hadam Former name

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

State licenses

LicenseStateTypeSpecialty
ME 109681FLMDAnesthesiology Physician
08622RIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Neurology CurrentSince Jan 19, 2021 Accepting new patients
Molina Burkett Chauhan Wheeley and Fink MD PA Anesthesiology Past Accepting new patients
Surgery Center of Viera LLC PastSince Jan 19, 2021 Accepting new patients
Surgery Center of Okeechobee, LLC Past Accepting new patients
East Coast Anesthesia Associates PA Anesthesiology Past Accepting new patients

Locations

7955 Spyglass Hill Rd
Ste A
Melbourne, FL 32940
Phone (321) 255-6670

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1154446078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 SPYGLASS HILL RD",
            "address_2": "STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408249",
            "telephone_number": "207-214-5698",
            "fax_number": "321-775-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 37TH ST",
            "address_2": "SUITE E",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606550",
            "telephone_number": "772-299-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "08622",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 109681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005922000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14K3X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "HADAM",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.