Individual provider Active NPI

Kenneth S Dharamraj, M.D.

  • Interventional Cardiology Physician
  • Clearwater, FL
National Provider Identifier
1265461685
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME0040027 Issued in FL
Practice address
1831 N Belcher Rd
Suite B-3
Clearwater, FL 33765-1449
Phone
(727) 796-3966
NPI assigned
Jun 30, 2006
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME0040027 FL Primary

Addresses

Primary practice location

1831 N Belcher Rd
Suite B-3
Clearwater, FL 33765-1449

Mailing address

1831 N Belcher Rd
Suite B-3
Clearwater, FL 33765-1449
Phone (727) 796-3966

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
I20041123001117 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - General PracticePractitioner - Internal MedicinePractitioner - Cardiac Surgery 1052376530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Surgery, General Practice, Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1831 N Belcher Rd
B3
Clearwater, FL 33765-1442
Phone (727) 796-3966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0040027FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc CurrentSince Jul 1, 2004 Accepting new patients
Morton Plant Mease Health Services, Inc CurrentSince Apr 9, 2018 Accepting new patients
Dharamraj Inc Interventional Cardiology CurrentSince Mar 1, 1982 Accepting new patients
Trustees of Mease Hospital, Inc Past Accepting new patients

Locations

1831 N Belcher Rd
Ste B3
Clearwater, FL 33765
Phone (727) 796-3966

323 Jeffords St
Clearwater, FL 33756
Phone (727) 729-9212

3231 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-6111

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1265461685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD",
            "address_2": "SUITE B-3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651449",
            "telephone_number": "727-796-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD",
            "address_2": "SUITE B-3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651449",
            "telephone_number": "727-796-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARAMRAJ",
        "first_name": "KENNETH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME0040027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.