Organization Active NPI

Rajendra a Karkare MD PA

  • Internal Medicine Physician
  • Seminole, FL
National Provider Identifier
1366575789
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77104 Issued in FL
Legal business name
RAJENDRA A KARKARE MD PA
Practice address
10700 Johnson Blvd
Suite 3
Seminole, FL 33772-4875
Phone
(727) 392-8500
Fax
(727) 392-8204
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Rajendra A. Karkare, M.D.NPI 1235114364
Title
Director
Phone
(727) 392-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME77104 FL Primary

Addresses

Primary practice location

10700 Johnson Blvd
Suite 3
Seminole, FL 33772-4875

Mailing address

10700 Johnson Blvd
Suite 3
Seminole, FL 33772-4875
Phone (727) 392-8500

Other identifiers 1

IdentifierTypeStateIssuer
256361400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070402000529 FL Part B Supplier - Clinic/Group Practice 1658475595 Receives reassigned benefits from 1 practitioner
Practice locations: Seminole, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1064630Rajendra a Karkare MD PA10700 Johnson Blvd Ste 3, Seminole, FL 33772Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

10700 Johnson Blvd
Ste 3
Seminole, FL 33772
Phone (727) 392-8500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1366575789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 JOHNSON BLVD",
            "address_2": "SUITE 3",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724875",
            "telephone_number": "727-392-8500",
            "fax_number": "727-392-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 JOHNSON BLVD",
            "address_2": "SUITE 3",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724875",
            "telephone_number": "727-392-8500",
            "fax_number": "727-392-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA A KARKARE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "KARKARE",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-392-8500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256361400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.