Active NPI
Kerron Catlyn, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Orlando, FL
National Provider Identifier
1225290695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME119808
- Practice address
- 1222 S Orange Ave
Orlando, FL 32806-1215 - Phone
- (321) 841-7856
- Fax
- (321) 843-6432
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME119808 | FL | Primary |
| Pulmonary Disease Physician | 207RP1001X | ME119808 | FL |
Addresses
Primary practice location
1222 S Orange Ave
Orlando, FL 32806-1215
Mailing address
1222 S Orange Ave
Orlando, FL 32806-1215
Phone (321) 841-7856
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME119808 | Other | FL | MEDICAL LICENSE |
| 011145000 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Critical Care Medicine | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
9400 Turkey Lake Rd
#452
Orlando, FL 32819
Phone (321) 842-8505
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
Interoperability endpoints
- kcatlyn25287@orlandohealth.medalliesdirect.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Critical Care Medicine
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1225290695",
"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": "321-841-7856",
"fax_number": "321-843-6432"
},
{
"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": "321-841-7856",
"fax_number": "321-843-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATLYN",
"first_name": "KERRON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME119808",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME119808",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME119808",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011145000",
"state": "FL"
}
],
"endpoints": [],
"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 Nov 16, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.