Active NPI
K. Leslie Avery, M.D.
- Pediatric Critical Care Medicine Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- ME115725
- Practice address
- Dept of Pediatric Critical Care Shands
1600 SW Archer Rd, Ste. 10-504, Box 100296
Gainesville, FL 32610-0001 - Phone
- (352) 265-0462
- Fax
- (352) 265-0443
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME115725 | FL | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 11316 | NV | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | A67929 | CA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | DR.0071896 | CO |
Addresses
Primary practice location
Dept of Pediatric Critical Care Shands
1600 SW Archer Rd, Ste. 10-504, Box 100296
Gainesville, FL 32610-0001
Mailing address
Dept of Pediatric Critical Care Shands
1600 SW Archer Rd, Ste. 10-504, Box 100296
Gainesville, FL 32610-0001
Phone (352) 265-0462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008799300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67929 | CA | MD | Pediatric Critical Care Medicine Physician |
| DR.0071896 | CO | MD | Pediatric Critical Care Medicine Physician |
| ME115725 | FL | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| HCA Healthone LLC | Past | Accepting new patients |
Locations
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
1600 SW Archer Rd
Ste 10504
Gainesville, FL 32610
Phone (352) 265-0462
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
Interoperability endpoints
- kavery110412@direct.shands.ufl.edu
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696636800000",
"number": "1508859547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT OF PEDIATRIC CRITICAL CARE SHANDS",
"address_2": "1600 SW ARCHER RD, STE. 10-504, BOX 100296",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100001",
"telephone_number": "352-265-0462",
"fax_number": "352-265-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF PEDIATRIC CRITICAL CARE SHANDS",
"address_2": "1600 SW ARCHER RD, STE. 10-504, BOX 100296",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100001",
"telephone_number": "352-265-0462",
"fax_number": "352-265-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "K.",
"middle_name": "LESLIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2023-10-07",
"certification_date": "2023-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME115725",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NV",
"license": "11316",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "A67929",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CO",
"license": "DR.0071896",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008799300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.