Individual provider Active NPI

Kelechi N Esoga, MD

  • General Practice Physician
  • Winter Haven, FL
National Provider Identifier
1477933984
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN758 Issued in FL
Practice address
7558 Cypress Gardens Blvd
Winter Haven, FL 33884-3200
Phone
(863) 215-6639
NPI assigned
Jun 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19,069 PR
General Practice Physician 208D00000X ACN758 FL Primary

Addresses

Primary practice location

7558 Cypress Gardens Blvd
Winter Haven, FL 33884-3200

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 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
I20150820009738 PR Practitioner - General PracticePractitioner - Emergency Medicine 0446565428 Practice locations: Fajardo, PR
I20160316001439 FL Practitioner - General Practice 0446565428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

7558 Cypress Gardens Blvd
Winter Haven, FL 33884-3200
Phone (863) 215-6639

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN758FLMDGeneral Practice Physician
19,069PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince Jan 28, 2022 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Jan 28, 2022 Accepting new patients
Florida Medical Associates LLC CurrentSince Dec 30, 2024 Accepting new patients
Xpress Medical Transport Corp Past Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince Feb 1, 2022 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

8957 Hudson Ave
Hudson, FL 34667

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

408 Old Polk City Rd
Lakeland, FL 33809

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

1755 6th St NW
Ste 2B
Winter Haven, FL 33881
Phone (863) 323-9813

7558 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 215-6639

36521 Pure Water Way
Zephyrhills, FL 33541

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kelechi.esoga@sl.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1477933984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7558 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843200",
            "telephone_number": "863-215-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESOGA",
        "first_name": "KELECHI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19,069",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.