Individual provider Active NPI

Kevin Huang, M.D.

  • Emergency Medicine Physician
  • Hardeeville, SC
National Provider Identifier
1427445642
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
88528 Issued in SC
Practice address
1000 Medical Center Dr
Hardeeville, SC 29927-3446
Phone
(843) 784-8000
NPI assigned
Apr 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 88528 SC Primary

Addresses

Primary practice location

1000 Medical Center Dr
Hardeeville, SC 29927-3446

Mailing address

612 E 38TH St
Savannah, GA 31401-9218
Phone (646) 467-4402

Other practice location 1

260 Longwood Ave
Peabody Society
Boston, MA 02115-5701
Phone (617) 495-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220623001073 TX Practitioner - Emergency Medicine 2365789153 Reassigns benefits to 1 organization
I20230303001115 GA Practitioner - Emergency Medicine 2365789153 Reassigns benefits to 2 organizations
I20241112001023 FL Practitioner - Emergency Medicine 2365789153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Harvard Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 798-3300

Hospital & facility affiliations

  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88528SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince May 23, 2022 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Aug 23, 2024 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Jan 8, 2024 Accepting new patients
Rosebud Indian Health Service CurrentSince May 23, 2022 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Feb 20, 2023 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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 1

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": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1427445642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E 38TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314019218",
            "telephone_number": "646-467-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273446",
            "telephone_number": "843-784-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Longwood Ave",
            "address_2": "Peabody Society",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155701",
            "country_code": "US",
            "telephone_number": "617-495-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-26",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "88528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

Verify at the official NPI Registry.