Individual provider Active NPI

Kevin List, MD

  • Obstetrics & Gynecology Physician
  • Apopka, FL
National Provider Identifier
1316407612
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME161624 Issued in FL
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

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
118675400MedicaidFL

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
I20230712002024 FL Practitioner - Obstetrics/Gynecology 4789919838 Reassigns benefits to 1 organization

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
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Sep 1, 2023 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.

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": "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

Sources for this page

Verify at the official NPI Registry.