Individual provider Active NPI

Kevin J. Makati, MD

  • Cardiovascular Disease Physician
  • Lutz, FL
National Provider Identifier
1467541953
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
101255 Issued in FL
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

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P0442OtherFLHF MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080808000058 FL Practitioner - Cardiovascular Disease (Cardiology) 5890756464 Reassigns benefits to 2 organizations
I20250613001440 IN Practitioner - Cardiac Electrophysiology 5890756464 Reassigns benefits to 2 organizations

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
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

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 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101255FLMDCardiovascular Disease Physician
220117MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Deaconess Hospital Inc CurrentSince Jun 2, 2025 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Jun 2, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Jun 2, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Jun 2, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.