Individual provider Active NPI

Gary Kao, M.D.

  • Interventional Pain Medicine Physician
  • Middleburg, FL
National Provider Identifier
1346582095
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
R8218 Issued in TX
Practice address
1821 Blanding Blvd Ste 1
Middleburg, FL 32068-3839
Phone
(904) 406-3160
Fax
(904) 406-3159
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R8218 TX
Anesthesiology Physician 207L00000X R8218 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X R8218 TX
Interventional Pain Medicine Physician 208VP0014X R8218 TX Primary

Addresses

Primary practice location

1821 Blanding Blvd Ste 1
Middleburg, FL 32068-3839

Mailing address

705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181009000487 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 3870845514 Reassigns benefits to 1 organization
I20210721001577 FL Practitioner - Pain ManagementPractitioner - Interventional Pain Management 3870845514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Tulane University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Spine and Injury Center PLLCGroup PAC ID 1658757521, 3 clinicians

Practice addresses (Care Compare)

220 W Hillside Rd
Suite 5a
Laredo, TX 78041-6906
Phone (361) 360-3264

4301 Retama Cir
Victoria, TX 77901-2768
Phone (361) 360-3264

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8218TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA Interventional Pain Medicine CurrentSince Sep 12, 2021 Accepting new patients
Physicians Group Services PA Interventional Pain Medicine CurrentSince Sep 12, 2021 Accepting new patients
Lone Star Spine and Injury Center, PLLC Interventional Pain Medicine CurrentSince Feb 1, 2025 Accepting new patients
Tricity Anesthesia Associates PLLC Pain Medicine Past Accepting new patients
Citizens Medical Center County of Victoria Interventional Pain Medicine Past Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244

1821 Blanding Blvd
Ste 1
Middleburg, FL 32068
Phone (904) 406-3160

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

220 W Hillside Rd
Ste 5A
Laredo, TX 78041
Phone (361) 360-3264

2743 Imperia Dr
Ste 101102
Sugar Land, TX 77479

4301 Retama Cir
Victoria, TX 77901
Phone (361) 360-3264

6902 N Navarro St
Victoria, TX 77904

2700 Citizens Plz
Ste 207
Victoria, TX 77901
Phone (361) 360-3264

Interoperability endpoints

  • Direct secure messaging: gary.kao.1@27973.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21977/brand/1/csg/1/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.

Hospital & facility affiliations 3

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1346582095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BLANDING BLVD STE 1",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320683839",
            "telephone_number": "904-406-3160",
            "fax_number": "904-406-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "R8218",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R8218",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "R8218",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "R8218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.