Individual provider Active NPI

Ketul Chauhan, M.D.

  • Cardiovascular Disease Physician
  • Zephyrhills, FL
National Provider Identifier
1356430623
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME88769 Issued in FL
Practice address
38035 Medical Center Avenue
Zephyrhills, FL 33540-1384
Phone
(813) 788-1400
Fax
(813) 788-7691
NPI assigned
Oct 12, 2006
Last updated
Apr 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME88769 FL Primary

Addresses

Primary practice location

38035 Medical Center Avenue
Zephyrhills, FL 33540-1384

Mailing address

PO Box 2709
Zephyrhills, FL 33539-2709
Phone (813) 788-1400

Other identifiers 3

IdentifierTypeStateIssuer
ME88769OtherFLLICENSE
2782596-00MedicaidFL
257259600MedicaidFL

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
I20070921000240 FL Practitioner - Cardiovascular Disease (Cardiology) 1052405040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Heart and Vascular Center PAGroup PAC ID 0648288225, 11 clinicians
Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians

Practice addresses (Care Compare)

38035 Medical Ctr Ave
Zephyrhills, FL 33540-1384
Phone (813) 788-1400

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (813) 443-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair16
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Oct 28, 2019 Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince May 30, 2017 Accepting new patients
Premier Heart and Vascular Center, PA Cardiovascular Disease CurrentSince Aug 1, 2009 Accepting new patients
Premier Cardiac Urgent Care of Wesley Chapel LLC CurrentSince Jul 1, 2026 Accepting new patients
Premier Cardiac Urgent Care LLC PastSince Jul 1, 2026 Accepting new patients

Locations

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

1470 N Florida Ave
Lakeland, FL 33805
Phone (863) 858-6666

3675 Innovation Dr
Lakeland, FL 33812

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

6646 Gunn Hwy
Tampa, FL 33625

2477 Bruce B Downs Blvd
Wesley Chapel, FL 33544

2479 Bruce B Downs Blvd
Wesley Chapel, FL 33544

27424 Cashford Cir
Wesley Chapel, FL 33544

38035 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-1234

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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

Hospital & facility affiliations 7

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1356430623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2709",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335392709",
            "telephone_number": "813-788-1400",
            "fax_number": "813-788-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38035 MEDICAL CENTER AVENUE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401384",
            "telephone_number": "813-788-1400",
            "fax_number": "813-788-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "KETUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME88769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME88769",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2782596-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257259600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.