Individual provider Active NPI

Aaron Kump, PA

  • Physician Assistant
  • Homestead, FL
National Provider Identifier
1205879624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102685 Issued in FL
Practice address
975 Baptist Way
Emergency Department
Homestead, FL 33033
Phone
(786) 243-8510
Fax
(786) 243-5863
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102685 FL Primary
Physician Assistant 363A00000X 006719 NY
Physician Assistant 363A00000X MA051752 PA
Physician Assistant 363A00000X 0110001906 VA

Addresses

Primary practice location

975 Baptist Way
Emergency Department
Homestead, FL 33033

Mailing address

555 NE 34TH St Apt 207
Miami, FL 33137-4031
Phone (786) 368-6311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050228000578 DC Practitioner - Physician Assistant 5991758146 Reassigns benefits to 2 organizations
I20061012000390 FL Practitioner - Physician Assistant 5991758146 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006719NYMDRegistered Dietitian
MA051752PAMDPhysician Assistant
0110001906VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates PA CurrentSince Jun 1, 2013 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Jun 1, 2013 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2013 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Jun 1, 2013 Accepting new patients
Bestpractices, Inc. Past Accepting new patients
Bestpractices, Inc. Past Accepting new patients
Homesteadmed PA Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205879624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NE 34TH ST APT 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374031",
            "telephone_number": "786-368-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33033",
            "telephone_number": "786-243-8510",
            "fax_number": "786-243-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMP",
        "first_name": "AARON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102685",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006719",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051752",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.