Active NPI
Kelechi N Esoga, MD
- General Practice Physician
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN758
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- 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
- General Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN758 | FL | MD | General Practice Physician |
| 19,069 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers Central Florida PLLC | Current | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Current | Accepting new patients | |
| Florida Medical Associates LLC | Current | Accepting new patients | |
| Xpress Medical Transport Corp | Past | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Past | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Past | 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
- 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.
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Family Medicine Physician
- Saint Cloud, FL
- NPI 1134738974
-
- Family Medicine Physician
- Zephyrhills, FL
- NPI 1972262509
-
- Family Medicine Physician
- Lakeland, FL
- NPI 1215609573
-
- Family Medicine Physician
- Clermont, FL
- NPI 1780342618
-
- Land Ambulance
- Luquillo, PR
- NPI 1104166990
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.