NPIMap

Organization Active NPI

KG Health Partners, Inc

  • Podiatrist
  • Clearwater, FL
National Provider Identifier
1487654042
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
HCC10003 Issued in FL
Legal business name
KG HEALTH PARTNERS, INC
Practice address
6021 142ND Ave N
Clearwater, FL 33760-2822
Phone
(727) 796-6900
NPI assigned
Jul 26, 2005
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Bryan Schmidt
Title
Coo
Phone
(727) 796-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X HCC10003 FL Primary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X

Addresses

Primary practice location

6021 142ND Ave N
Clearwater, FL 33760-2822

Mailing address

6021 142ND Ave N
Clearwater, FL 33760-2822
Phone (727) 796-6900

Other practice location 1

508 Meeting St
West Columbia, SC 29169-7535
Phone (727) 796-6900

Other identifiers 3

IdentifierTypeStateIssuer
M999MedicaidSC
38362OtherFLBCBS
CI8898OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040205000906 FL Part B Supplier - Clinic/Group Practice 7214820976 Receives reassigned benefits from 19 practitioners
Practice locations: Clearwater, FL
O20220715001719 SC Part B Supplier - Clinic/Group Practice 7214820976 Receives reassigned benefits from 13 practitioners
Practice locations: West Columbia, SC

National Provider Directory

National Provider Directory

Locations

13600 Icot Blvd
Clearwater, FL 33760
Phone (727) 796-6900

701 Enterprise Rd E
Ste 704
Safety Harbor, FL 34695
Phone (727) 796-6900

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1487654042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 142ND AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602822",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 142ND AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602822",
            "telephone_number": "727-796-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Meeting St",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291697535",
            "country_code": "US",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KG HEALTH PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "727-796-6900"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "HCC10003",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M999",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38362",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI8898",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.