Active NPI
Timothy L. Kerwin, MD
- Radiation Oncology Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME101714
- Practice address
- 15465 Tamiami TRL N
Naples, FL 34110-6216 - Phone
- (239) 429-0200
- Fax
- (239) 421-8209
- NPI assigned
- Dec 8, 2006
- Last updated
- Apr 22, 2022
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | A91189 | CA | |
| Radiation Oncology Physician | 2085R0001X | ME101714 | FL | Primary |
Addresses
Primary practice location
15465 Tamiami TRL N
Naples, FL 34110-6216
Mailing address
1205 Pocantico LN
Naples, FL 34110-0923
Phone (239) 300-1911
Other practice location 1
955 10th Ave N
Naples, FL 34102-5452
Phone (239) 325-1440
Other practice location 2
8625 Collier Blvd Unit 102
Naples, FL 34114-3636
Phone (239) 429-0100
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10T819 | Other | FL | HEALTHY KIDS |
| 319019 | Other | FL | AVMED |
| P01210193 | Other | FL | RAILROAD MCR |
| 8467004 | Other | FL | CIGNA |
| 9863140 | Other | FL | AETNA |
| P106298 | Other | FL | FREEDOM HEALTH |
| 000710000 | Medicaid | FL | |
| 1003459 | Other | FL | WELLCARE |
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
- Radiation Oncology
- Education
- Emory University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15465 Tamiami TRL N
Naples, FL 34110-6216
Phone (239) 429-0400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91189 | CA | MD | Radiation Oncology Physician |
| ME101714 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Oncology LLC | Radiation Oncology | Current | Accepting new patients |
| Precision Healthcare Specialists, LLC | Radiation Oncology | Current | Accepting new patients |
| Advocate Radiation Oncology, LLC | Radiation Oncology | Current | Accepting new patients |
| Bardmoor Cancer Center LLC | Radiation Oncology | Past | Accepting new patients |
Locations
15681 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 437-1977
1860 Boy Scout Dr
Ste 201
Fort Myers, FL 33907
Phone (239) 274-3269
15465 Tamiami Trl N
Naples, FL 34110
Phone (239) 429-0200
8350 Sierra Meadows Blvd
Fl 1
Naples, FL 34113
8625 Collier Blvd
Unit 102
Naples, FL 34114
Phone (239) 429-0100
3080 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 625-0111
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
dba Inspire Oncology
- Radiation Oncology Physician
- Port Charlotte, FL
- NPI 1841753969
-
dba Advocate Radiation Oncology
- Otolaryngology Physician
- Fort Myers, FL
- NPI 1457050106
Radiation Oncology
-
- Radiation Oncology Physician
- Naples, FL
- NPI 1396352084
-
- Radiation Oncology Physician
- Largo, FL
- NPI 1811923386
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NCH Healthcare System Inc
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
dba Physicians Regiona Medical Center-Collier
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
dba Physicians Regional Medical Center-Pine Ridge
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1346309085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 POCANTICO LN",
"city": "NAPLES",
"state": "FL",
"postal_code": "341100923",
"telephone_number": "239-300-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15465 TAMIAMI TRL N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341106216",
"telephone_number": "239-429-0200",
"fax_number": "239-421-8209"
}
],
"practiceLocations": [
{
"address_1": "955 10th Ave N",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025452",
"country_code": "US",
"telephone_number": "239-325-1440",
"fax_number": "239-325-2283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8625 Collier Blvd Unit 102",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341143636",
"country_code": "US",
"telephone_number": "239-429-0100",
"fax_number": "239-421-8209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERWIN",
"first_name": "TIMOTHY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A91189",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME101714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY KIDS",
"identifier": "10T819",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "319019",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR",
"identifier": "P01210193",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8467004",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9863140",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM HEALTH",
"identifier": "P106298",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000710000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1003459",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.