Active NPI
Kevin J. Makati, MD
- Cardiovascular Disease Physician
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 101255
- Practice address
- 4211 Van Dyke Road
Suite 205
Lutz, FL 33558 - Phone
- (813) 229-9292
- Fax
- (813) 229-9293
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 101255 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | 101255 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 101255 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | 220117 | MA |
Addresses
Primary practice location
4211 Van Dyke Road
Suite 205
Lutz, FL 33558
Mailing address
4211 Van Dyke Road
Suite 205
Lutz, FL 33558
Phone (813) 229-9292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0442 | Other | FL | HF MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501
4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 842-0907
4211 Van Dyke Rd
Suite 205
Lutz, FL 33558-8005
Phone (813) 229-9292
4240 Sun N Lake Blvd
Suite 202
Sebring, FL 33872-1944
Phone (863) 471-3926
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.79 of 100
- Quality
- 86.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101255 | FL | MD | Cardiovascular Disease Physician |
| 220117 | MA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Internal Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Deaconess Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Deaconess Hospital, Inc | Internal Medicine | Current | Accepting new patients |
Locations
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
4211 Van Dyke Rd
Ste 205
Lutz, FL 33558
Phone (813) 229-9292
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
440 Scott Rolen Dr
Jasper, IN 47546
Phone (812) 481-1655
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855
Interoperability endpoints
- kevin.makati.1@8042.direct.athenahealth.com
Organizations & group practices 8
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
Internal Medicine
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Internal Medicine
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Deaconess Care Group Gateway
- Hospitalist Physician
- Newburgh, IN
- NPI 1477592418
Internal Medicine
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1831980945
-
- Cardiovascular Disease Physician
- Vincennes, IN
- NPI 1396249926
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1467541953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 VAN DYKE ROAD",
"address_2": "SUITE 205",
"city": "LUTZ",
"state": "FL",
"postal_code": "33558",
"telephone_number": "813-229-9292",
"fax_number": "813-229-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 VAN DYKE ROAD",
"address_2": "SUITE 205",
"city": "LUTZ",
"state": "FL",
"postal_code": "33558",
"telephone_number": "813-229-9292",
"fax_number": "813-229-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKATI",
"first_name": "KEVIN",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "FL",
"license": "101255",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "101255",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "101255",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "220117",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HF MA",
"identifier": "P0442",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.