Active NPI
James Michael Kemmerling, MD
- Surgery Physician
- Wimauma, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME141776
- Practice address
- 16553 S US Highway 301
Wimauma, FL 33598-2032 - Phone
- (800) 991-6117
- Fax
- (888) 812-8191
- NPI assigned
- Aug 16, 2006
- Last updated
- Apr 15, 2020
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35428 | WI | |
| Surgery Physician | 208600000X | ME141776 | FL | Primary |
Addresses
Primary practice location
16553 S US Highway 301
Wimauma, FL 33598-2032
Mailing address
3810 Northdale Blvd Ste 150
Tampa, FL 33624-1871
Phone (813) 961-1331
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
- General Surgery
- Education
- Medical College of Wisconsin, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18167 US Hwy 19 N
Suite 100
Clearwater, FL 33764-6565
Phone (727) 233-4177
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 243 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME141776 | FL | MD | Surgery Physician |
| 35428 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wazni, PLLC | Surgery | Current | Accepting new patients |
| Colorado Medical Group, PLLC | Surgery | Past | Accepting new patients |
Locations
1900 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 416-1145
18167 US Highway 19 N
Ste 100
Clearwater, FL 33764
Phone (727) 233-4177
2290 10th Ave N
Ste 101
Lake Worth, FL 33461
Phone (561) 450-2703
3003 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 687-8990
4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918
4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410
295 NW Peacock Blvd
Port St Lucie, FL 34986
3609 Madaca Ln
Tampa, FL 33618
Phone (720) 253-3071
3657 Madaca Ln
Tampa, FL 33618
3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784
3810 Northdale Blvd
Ste 260
Tampa, FL 33624
3820 Northdale Blvd
Ste 201
Tampa, FL 33624
8029 Cooper Creek Blvd
Ste 104
University Park, FL 34201
16553 S US Highway 301
Wimauma, FL 33598
Interoperability endpoints
- james.kemmerling@uvvc.eclinicaldirectplus.com
Organizations & group practices 2
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 United Vein & Vascular Centers
- Vascular Surgery Physician
- Fort Collins, CO
- NPI 1356714638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1376656165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 NORTHDALE BLVD STE 150",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241871",
"telephone_number": "813-961-1331",
"fax_number": "888-850-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16553 S US HIGHWAY 301",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335982032",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMMERLING",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "35428",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME141776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wimauma, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.