Active NPI
Kevin List, MD
- Obstetrics & Gynecology Physician
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME161624
- Practice address
- 1578 W Orange Blossom TRL
Apopka, FL 32712-2639 - Phone
- (407) 635-3240
- Fax
- (407) 636-7847
- NPI assigned
- Mar 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | ME161624 | FL | Primary |
Addresses
Primary practice location
1578 W Orange Blossom TRL
Apopka, FL 32712-2639
Mailing address
1578 W Orange Blossom TRL
Apopka, FL 32712-2639
Phone (407) 635-3240
Other practice location 1
1465 Banbury Loop N
Lakeland, FL 33809-7815
Phone (863) 712-1701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118675400 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1578 W Orange Blossom TRL
Apopka, FL 32712-2639
Phone (321) 843-8655
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1578 W Orange Blossom Trl
#1560
Apopka, FL 32712
1578 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 635-3027
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1316407612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1578 W ORANGE BLOSSOM TRL",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122639",
"telephone_number": "407-635-3240",
"fax_number": "407-636-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1578 W ORANGE BLOSSOM TRL",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122639",
"telephone_number": "407-635-3240",
"fax_number": "407-636-7847"
}
],
"practiceLocations": [
{
"address_1": "1465 Banbury Loop N",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338097815",
"country_code": "US",
"telephone_number": "863-712-1701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIST",
"first_name": "KEVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME161624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118675400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
- Ellis Troy Lim Quee, PTA
- Jessica J Lim, DO
- Pari Limbachia, D.C.
- Jennifer Lin, PA-C
- Linked Targeted Case Management Services, Inc.
- Little Angels Pediatric Extended Care LLC (Little Angels PPEC)
- Little Angels Pediatric Extended Care LLC (Little Angels PPEC)
- Lkjackley LLC (So To Speak Therapies)
- Jessica Lobban-Williams, MD
- Jessica Marie Logeson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.