Individual provider Active NPI

Janaki S Koka, MD

  • Anesthesiology Physician
  • Crystal River, FL
National Provider Identifier
1396867602
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME81399 Issued in FL
Practice address
6410 W Gulf to Lake Hwy
Crystal River, FL 34429-7622
Phone
(352) 563-2450
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME81399 FL Primary

Addresses

Primary practice location

6410 W Gulf to Lake Hwy
Crystal River, FL 34429-7622

Mailing address

6410 W Gulf to Lake Hwy
Crystal River, FL 34429-7622
Phone (352) 563-2450

Other identifiers 1

IdentifierTypeStateIssuer
592676843OtherFLTAX ID

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
I20110912000225 FL Practitioner - Anesthesiology 7517138126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal River Anesthesia Associates LLCGroup PAC ID 1951639715, 16 clinicians

Practice addresses (Care Compare)

6412 W Gulf to Lake Hwy
Crystal River, FL 34429-7622
Phone (352) 563-0023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Dec 2, 2019 Accepting new patients
Crystal River Anesthesia Associates, LLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Crystal River Anesthesia Associates, LLC PastSince Aug 17, 2025 Accepting new patients

Locations

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3621 E Forest Dr
Inverness, FL 34453
Phone (352) 563-2450

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1396867602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297622",
            "telephone_number": "352-563-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297622",
            "telephone_number": "352-563-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKA",
        "first_name": "JANAKI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME81399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "592676843",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.