Organization Active NPI

Kay Primary Care Inc

  • Family Medicine Physician
  • Tarpon Springs, FL
National Provider Identifier
1235656992
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS3862 Issued in FL
Legal business name
KAY PRIMARY CARE INC
Practice address
955 E Martin Luther King Jr Dr Ste E
Tarpon Springs, FL 34689-4803
Phone
(727) 796-2444
Fax
(727) 796-7653
NPI assigned
Aug 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Walter Kay, DONPI 1013969575
Title
Medical Director
Phone
(727) 796-2444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS3862 FL Primary

Addresses

Primary practice location

955 E Martin Luther King Jr Dr Ste E
Tarpon Springs, FL 34689-4803

Mailing address

955 E Martin Luther King Jr Dr Ste E
Tarpon Springs, FL 34689-4803
Phone (727) 796-2444

Other identifiers 1

IdentifierTypeStateIssuer
22234600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171110001173 FL Part B Supplier - Clinic/Group Practice 8729344502 Receives reassigned benefits from 1 practitioner
Practice locations: Tarpon Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0297145Kay Primary Care Inc955 E Martin Luther King Jr Dr Suite E, Tarpon Springs, FL 34689Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Locations

2724 Park Dr
Clearwater, FL 33763
Phone (727) 796-2444

955 E Mlk Dr
Ste E
Tarpon Springs, FL 34689
Phone (727) 487-7066

955 E Martin Luther King Jr Dr
Tarpon Springs, FL 34689

Practitioners & affiliated clinicians

Practitioners 4

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": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1235656992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 E MARTIN LUTHER KING JR DR STE E",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894803",
            "telephone_number": "727-796-2444",
            "fax_number": "727-796-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E MARTIN LUTHER KING JR DR STE E",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894803",
            "telephone_number": "727-796-2444",
            "fax_number": "727-796-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-796-2444",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22234600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.