Organization Active NPI

Kirtane Associates M.D., P.a.

  • Pulmonary Disease Physician
  • Altamonte Springs, FL
National Provider Identifier
1174839476
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME38048 Issued in FL
Legal business name
KIRTANE ASSOCIATES M.D., P.A.
Practice address
210 N Westmonte Dr
Suite 1000
Altamonte Springs, FL 32714-3311
Phone
(407) 788-7844
Fax
(407) 682-6071
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. Shirish Kamalakar Kirtane, M.D.NPI 1982693115
Title
Owner
Phone
(407) 788-7844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X ME37121 FL
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X ME38048 FL Primary

Addresses

Primary practice location

210 N Westmonte Dr
Suite 1000
Altamonte Springs, FL 32714-3311

Mailing address

PO Box 160127
Altamonte Springs, FL 32716-0127
Phone (407) 788-7844

Other identifiers 4

IdentifierTypeStateIssuer
ME38048OtherFLLISCENSE
065694100MedicaidFL
065091900MedicaidFL
ME37121OtherFLLISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120509000167 FL Part B Supplier - Clinic/Group Practice 4284896259 Receives reassigned benefits from 2 practitioners
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Locations

210 N Westmonte Dr
Ste 1000
Altamonte Springs, FL 32714
Phone (407) 788-7844

210 N Westmonte Dr
Altamonte Springs, FL 32714
Phone (305) 788-7844

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1174839476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160127",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160127",
            "telephone_number": "407-788-7844",
            "fax_number": "407-682-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WESTMONTE DR",
            "address_2": "SUITE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143311",
            "telephone_number": "407-788-7844",
            "fax_number": "407-682-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRTANE ASSOCIATES M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "KIRTANE",
        "authorized_official_first_name": "SHIRISH",
        "authorized_official_middle_name": "KAMALAKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-788-7844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME37121",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME38048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "ME38048",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065694100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065091900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "ME37121",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.