Individual provider Active NPI

Kelvin Ong, DO

  • Family Medicine Physician
  • Tavernier, FL
National Provider Identifier
1275038283
Registry record updated Jan 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS17983 Issued in FL
Practice address
90130 Old Hwy
Tavernier, FL 33070-2368
Phone
(864) 513-6981
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS17983 FL Primary

Addresses

Primary practice location

90130 Old Hwy
Tavernier, FL 33070-2368

Mailing address

219 Lignumvitae Dr
Key Largo, FL 33037-4539
Phone (321) 278-7225

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
I20220107001047 FL Practitioner - Family Practice 7315338001 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17983FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agapemd, LLC CurrentSince Nov 28, 2022 Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

101425 Overseas Hwy
Key Largo, FL 33037
Phone (305) 240-2561

511 Medical Plaza Dr
Ste 101
Leesburg, FL 34748

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

90130 Old Hwy
Ste 1
Tavernier, FL 33070
Phone (305) 852-9300

90130 Old Hwy
Tavernier, FL 33070
Phone (305) 204-4577

Interoperability endpoints

  • Direct secure messaging: kong346791@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672531200000",
    "number": "1275038283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 LIGNUMVITAE DR",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330374539",
            "telephone_number": "321-278-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90130 OLD HWY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702368",
            "telephone_number": "864-513-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "KELVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

Verify at the official NPI Registry.