Active NPI
Kendall Karen Marotti, P.A.
- Surgical Physician Assistant
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 9112459
- Practice address
- 1641 Tamiami TRL
Port Charlotte, FL 33948-1018 - Phone
- (941) 629-6262
- Fax
- (941) 629-1782
- NPI assigned
- Sep 9, 2019
- Last updated
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9112459 | FL | Primary |
Addresses
Primary practice location
1641 Tamiami TRL
Port Charlotte, FL 33948-1018
Mailing address
1641 Tamiami TRL
Port Charlotte, FL 33948-1018
Phone (941) 629-6262
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734
1950 Arlington St
Sarasota, FL 34239-3506
Phone (941) 921-2600
3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112459 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedic Center of Charlotte County, PA | Current | Accepting new patients | |
| Advanced Orthopedic Center of Charlotte County, PA | Past | Accepting new patients |
Locations
1641 Tamiami Trl
Ste 1
Pt Charlotte, FL 33948
Phone (941) 629-6262
Interoperability endpoints
- kendallm@aocc1855.srs-direct.com
- kmarotti@aoc.emadirect.md
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Sarasota, FL
- NPI 1508082983
-
- Orthopaedic Surgery Physician
- Port Charlotte, FL
- NPI 1639177579
-
- Health Service Clinic/Center
- Venice, FL
- NPI 1346912805
-
- Rehabilitation Clinic/Center
- Nokomis, FL
- NPI 1780964973
-
- Orthopaedic Surgery Physician
- Venice, FL
- NPI 1619795317
-
- Orthopaedic Surgery Physician
- North Port, FL
- NPI 1154237527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1457900862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 TAMIAMI TRL",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481018",
"telephone_number": "941-629-6262",
"fax_number": "941-629-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 TAMIAMI TRL",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481018",
"telephone_number": "941-629-6262",
"fax_number": "941-629-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROTTI",
"first_name": "KENDALL",
"middle_name": "KAREN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "9112459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.