NPIMap

Individual provider Active NPI

Kerry Ann Cadogan, M.D.

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1265743058
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME119435 Issued in FL
Practice address
1839 Central Ave
St Petersburg, FL 33713-8900
Phone
(727) 322-1054
Fax
(727) 821-7213
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME119435 FL Primary

Addresses

Primary practice location

1839 Central Ave
St Petersburg, FL 33713-8900

Mailing address

1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 322-1054

Other identifiers 2

IdentifierTypeStateIssuer
012551900MedicaidFL
14XL0OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912000964 FL Practitioner - Internal Medicine 9436378007 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Home Primary Care LLCGroup PAC ID 6204213614, 7 clinicians

Practice addresses (Care Compare)

819 Cypress Village Blvd
Sun City Center, FL 33573-6834
Phone (813) 922-2660

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Clinical Partners, LLC CurrentSince Jan 10, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Healthy Home Primary Care LLC Internal Medicine CurrentSince Feb 12, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Professional Health Care of Pinellas LLC Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Jun 1, 2018 Accepting new patients
Bayside Medical Group LLC CurrentSince Jul 15, 2017 Accepting new patients
Comprehensive Hospital Physicians of Florida Inc Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
First Docs PC Internal Medicine CurrentSince Jan 14, 2025 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

1031 W Magnolia St
Leesburg, FL 34748
Phone (352) 315-0459

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

6020 Indiana Ave
New Prt Rchy, FL 34653
Phone (352) 860-0200

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

1609 Pasadena Ave S
Ste 1E
South Pasadena, FL 33707
Phone (727) 341-7870

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

7101 Mlk Jr St N
St Petersburg, FL 33702
Phone (727) 527-7231

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

3850 Upper Creek Dr
Sun City Center, FL 33573
Phone (813) 633-2781

819 Cypress Village Blvd
Sun City Ctr, FL 33573
Phone (813) 634-5858

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/26544/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kcadogan188997@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA
  • Direct secure messaging: kerry.cadogan.1@26544.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1265743058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADOGAN",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012551900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14XL0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.