Individual provider Active NPI

Nirmala Kishun-Jit, M.D.

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1164756334
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME113929 Issued in FL
Practice address
919 53Rd Ave E
Bradenton, FL 34203-4801
Phone
(941) 751-8100
Fax
(941) 751-8127
NPI assigned
Sep 21, 2009
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME113929 FL Primary

Addresses

Primary practice location

919 53Rd Ave E
Bradenton, FL 34203-4801

Mailing address

700 8TH Ave W
Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4008

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000391 FL Practitioner - Internal Medicine 7113177387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

1110 E Gibson St
Arcadia, FL 34266-5011
Phone (863) 494-1918

1148 E Gibson St
Community Care Family Clinic
Arcadia, FL 34266-5011
Phone (863) 494-6222

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

1312 Manatee Ave E
Bradenton, FL 34208-1358
Phone (941) 708-8700

5325 26TH St W
Bradenton, FL 34207-3012
Phone (941) 708-8500

5600 Bayshore Rd
Palmetto, FL 34221-9352
Phone (941) 721-2020

919 53Rd Ave E
Bradenton, FL 34203-4801
Phone (941) 751-8100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Oct 1, 2012 Accepting new patients
MCR Health, Inc. CurrentSince Oct 1, 2012 Accepting new patients
MCR Health, Inc. Internal Medicine Past Accepting new patients

Locations

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341

404 7th St W
Palmetto, FL 34221
Phone (941) 729-3856

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

Interoperability endpoints

  • Direct secure messaging: nirmala.kishun-jit.1@11352.direct.athenahealth.com

Organizations & group practices 3

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": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1164756334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W",
            "address_2": "STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4008",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034801",
            "telephone_number": "941-751-8100",
            "fax_number": "941-751-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHUN-JIT",
        "first_name": "NIRMALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME113929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.