Individual provider Active NPI

Taisa Jude Kohut, MD

  • Pediatric Gastroenterology Physician
  • Orlando, FL
National Provider Identifier
1467879825
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME150104 Issued in FL
Practice address
615 E Princeton St Ste 225
Orlando, FL 32803-1423
Phone
(407) 303-9926
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X ME150104 FL Primary

Addresses

Primary practice location

615 E Princeton St Ste 225
Orlando, FL 32803-1423

Mailing address

615 E Princeton St Ste 225
Orlando, FL 32803-1423
Phone (407) 303-9926

Other practice location 1

3401 Civic Center Blvd
Divison of Pediatric Gastroenterology
Philadelphia, PA 19104
Phone (215) 590-3247

Other practice location 2

The Johns Hopkins Hospital 1800 Orleans St
Baltimore, MD 21287-0001
Phone (410) 955-2727

Other practice location 3

1601 NW 12th Ave Fl 1
Miami, FL 33136-1005
Phone (305) 243-3166

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
I20220105000416 FL Practitioner - Pediatric Medicine 8729202213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150104FLMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 4, 2024 Accepting new patients
University of Miami CurrentSince Oct 1, 2021 Accepting new patients
University of Miami Pediatric Gastroenterology CurrentSince Oct 1, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 4, 2024 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1601 NW 12th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-3166

615 E Princeton St
Ste 225
Orlando, FL 32803
Phone (407) 303-9926

Interoperability endpoints

  • Direct secure messaging: tkohut96531@direct.med.miami.edu
  • Direct secure messaging: tkohut3586373@adventhealth.direct-ci.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1467879825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 225",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031423",
            "telephone_number": "407-303-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 225",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031423",
            "telephone_number": "407-303-9926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Civic Center Blvd",
            "address_2": "Divison of Pediatric Gastroenterology",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-590-3247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "The Johns Hopkins Hospital 1800 Orleans St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870001",
            "country_code": "US",
            "telephone_number": "410-955-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 NW 12th Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-243-3166",
            "fax_number": "305-243-2617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHUT",
        "first_name": "TAISA",
        "middle_name": "JUDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME150104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.