NPIMap

Individual provider Active NPI

Kedar R. Shetye, M.D.

  • Nephrology Physician
  • Largo, FL
National Provider Identifier
1356340806
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME95673 Issued in FL
Practice address
1301 2ND Ave SW Ste 303
Largo, FL 33770-3120
Phone
(727) 595-2704
Fax
(727) 869-8626
NPI assigned
Jul 18, 2005
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME95673 FL Primary

Addresses

Primary practice location

1301 2ND Ave SW Ste 303
Largo, FL 33770-3120

Mailing address

14134 Nephron LN
Hudson, FL 34667-6504
Phone (727) 863-5418

Other identifiers 1

IdentifierTypeStateIssuer
277004100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000529 FL Practitioner - Nephrology 3577556356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

14134 Nephron LN
Hudson, FL 34667-6504
Phone (727) 863-5418

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3495SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP Nephrology CurrentSince Sep 1, 2006 Accepting new patients

Locations

1055 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 442-6245

29296 US Highway 19 N
Clearwater, FL 33761
Phone (727) 784-8444

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kshetye77191@direct.acumenmd.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1356340806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14134 NEPHRON LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676504",
            "telephone_number": "727-863-5418",
            "fax_number": "727-869-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW STE 303",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703120",
            "telephone_number": "727-595-2704",
            "fax_number": "727-869-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETYE",
        "first_name": "KEDAR",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME95673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277004100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.