Individual provider Active NPI

Donald G. Kikta Jr., M.D.

  • Interventional Cardiology Physician
  • Clearwater, FL
National Provider Identifier
1477761005
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME127883 Issued in FL
Practice address
455 Pinellas St Ste 400
Clearwater, FL 33756-3356
Phone
(727) 445-1911
Fax
(727) 445-1986
NPI assigned
May 18, 2007
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME127883 FL Primary

Addresses

Primary practice location

455 Pinellas St Ste 400
Clearwater, FL 33756-3356

Mailing address

455 Pinellas St
Ste 400
Clearwater, FL 33756-3356
Phone (727) 445-1911

Other practice location 1

455 Pinellas St
Ste 400
Clearwater, FL 33756-3356
Phone (727) 445-1992 ext. 222

Other identifiers 2

IdentifierTypeStateIssuer
ME127883OtherFLMEDICAL LICENSE
018222200MedicaidFL

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
I20160519002123 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2163641499 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

Practice addresses (Care Compare)

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

455 Pinellas St
Suite 400
Clearwater, FL 33756-3356
Phone 72744519923222

8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 391-4758

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Leg revascularization (restoring blood flow)25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc CurrentSince Aug 1, 2016 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Aug 1, 2016 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Aug 1, 2016 Accepting new patients
Cardiovascular ASC LLC CurrentSince Dec 13, 2023 Accepting new patients
Clearwater Cardiovascular and Interventional Consultants MD PA Interventional Cardiology CurrentSince Jun 7, 2016 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

455 Pinellas St
Ste 260
Clearwater, FL 33756
Phone (727) 449-9891

455 Pinellas St
Ste 400
Clearwater, FL 33756
Phone (727) 445-1911

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

8839 Bryan Dairy Rd
Ste 300
Largo, FL 33777
Phone (727) 394-1911

1840 Mease Dr
Ste 202
Safety Harbor, FL 34695
Phone (727) 445-1911

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1477761005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST",
            "address_2": "STE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563356",
            "telephone_number": "727-445-1911",
            "fax_number": "727-445-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST STE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563356",
            "telephone_number": "727-445-1911",
            "fax_number": "727-445-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 PINELLAS ST",
            "address_2": "STE 400",
            "address_purpose": "LOCATION",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563356",
            "country_code": "US",
            "telephone_number": "727-445-1992 x222",
            "fax_number": "727-445-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIKTA",
        "first_name": "DONALD",
        "middle_name": "G.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME127883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME127883",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018222200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.