Individual provider Active NPI

Keertini Kumar, M. D.

  • Specialist
  • Ocala, FL
National Provider Identifier
1417940297
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME87056 Issued in FL
Practice address
8618 SW 103Rd Street Rd
Ocala, FL 34481-7705
Phone
(352) 304-9880
Fax
(352) 304-9885
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME87056 FL Primary

Addresses

Primary practice location

8618 SW 103Rd Street Rd
Ocala, FL 34481-7705

Mailing address

PO Box 577
Ocala, FL 34478-0577
Phone (352) 304-8980

Other identifiers 1

IdentifierTypeStateIssuer
267314200MedicaidFL

Other names 1

  • Keerthini Narayan Former name

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
I20050323000165 FL Practitioner - Internal Medicine 6608821665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Keertini Kumar, MD, PAGroup PAC ID 3072568039, 2 clinicians

Practice addresses (Care Compare)

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

8618 SW 103Rd St Rd
Ocala, FL 34481-7705
Phone (352) 304-8980

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keertini Kumar, MD, PA CurrentSince Jan 2, 2005 Accepting new patients
Holzer Clinic, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8618 SW 103rd Street Rd
Ocala, FL 34481
Phone (352) 304-8980

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIEEDD/Endpoint/FIEEDD

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1417940297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344780577",
            "telephone_number": "352-304-8980",
            "fax_number": "352-304-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 SW 103RD STREET RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817705",
            "telephone_number": "352-304-9880",
            "fax_number": "352-304-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "KEERTINI",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME87056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267314200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEERTHINI",
            "last_name": "NARAYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.