Katarina Rose Kesty, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME143837 Issued in FL

Practice address

100 40TH Ave N
St Petersburg, FL 33703-6125

Phone

(727) 474-4938

NPI assigned

Jun 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Petersburg Skin and Laser Center LLCGroup PAC ID 0840621587, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• St Petersburg Skin and Laser Center LLC

  • Dermatology Physician
  • St Petersburg, FL
  • NPI 1205475761
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology Specialists LLC

  • Dermatology Physician
  • Hillsborough, NJ
  • NPI 1720498439
  NPD

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1396126744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 40TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337036125",
            "telephone_number": "727-474-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 40TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337036125",
            "telephone_number": "727-474-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTY",
        "first_name": "KATARINA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME143837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan E. Kerwin, LMFT
• Julie B Kessel, MD
• Evanna Monique Kessler
• Marissa Kessler, MS, ED.S
• Chelsea Kesty, MD
• Kenneth Richard Kesty
• Alexandria Victoria Ketchersid, LCSW
• Carmen Ketchum-Lugo
• Ravi Reddy Kethireddy, MD
• Mara S Kevan, DACM, L.AC., DIPL.AC

• Dermatology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.