Individual provider Active NPI

Karen Cherian Joseph, M.D.

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1295098358
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TRN 17569 Issued in FL
Practice address
12020 Seminole Blvd
Largo, FL 33778
Phone
(727) 588-9572
Fax
(727) 559-7181
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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 TRN 17569 FL Primary

Addresses

Primary practice location

12020 Seminole Blvd
Largo, FL 33778

Mailing address

12020 Seminole Blvd
Largo, FL 33778-2805
Phone (727) 588-9572

Other practice location 1

603 7th St S Ste 400
St Petersburg, FL 33701-4734
Phone (727) 553-7420

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
I20150819009348 FL Practitioner - Family PracticePractitioner - Internal Medicine 9739494709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Family Medical AssociatesGroup PAC ID 0941195242, 14 clinicians

Practice addresses (Care Compare)

12020 Seminole Blvd
Largo, FL 33778-2805
Phone (727) 588-9572

Hospital & facility affiliations

  • Baycare Home Care Inc Home health agency, Largo, FL, CCN 107212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN 17569FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Family Medical Associates Family Medicine CurrentSince Apr 17, 2017 Accepting new patients

Locations

12020 Seminole Blvd
Largo, FL 33778
Phone (727) 588-9572

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1295098358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782805",
            "telephone_number": "727-588-9572",
            "fax_number": "727-559-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33778",
            "telephone_number": "727-588-9572",
            "fax_number": "727-559-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 7th St S Ste 400",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014734",
            "country_code": "US",
            "telephone_number": "727-553-7420",
            "fax_number": "727-553-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KAREN",
        "middle_name": "CHERIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN 17569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.