Individual provider Active NPI

Robert C. Kuykendall, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ocala, FL
National Provider Identifier
1518995448
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME53796 Issued in FL
Practice address
1720 SE 16TH Ave Ste 303
Ocala, FL 34471-4620
Phone
(352) 369-0288
Fax
(352) 867-1053
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME53796 FL Primary

Addresses

Primary practice location

1720 SE 16TH Ave Ste 303
Ocala, FL 34471-4620

Mailing address

1720 SE 16TH Ave Ste 303
Ocala, FL 34471-4620
Phone (352) 369-0288

Other practice location 1

1511 SW 1st Ave
Ocala, FL 34474
Phone (352) 867-8311

Other identifiers 4

IdentifierTypeStateIssuer
07329OtherFLBCBS FL
07329BOtherFLBCBSFL HMO
07329AOtherFLBCBSFL HMO
041517100MedicaidFL

Other names 1

  • R. Craig Kuykendall Other name

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
I20040202000403 FL Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 3072416478 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME53796FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Stuart Cardiovascular Anesthesia Associates PLLC PastSince Jul 31, 2006 Accepting new patients
Stuart Cardiovascular Associates, PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jul 31, 2006 Accepting new patients
Florida Heart and Vascular Surgeons, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jul 12, 2004 Accepting new patients

Locations

1720 SE 16th Ave
Ste 303
Ocala, FL 34471
Phone (352) 368-1661

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1518995448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE STE 303",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-369-0288",
            "fax_number": "352-867-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE STE 303",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-369-0288",
            "fax_number": "352-867-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 SW 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "34474",
            "country_code": "US",
            "telephone_number": "352-867-8311",
            "fax_number": "352-867-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUYKENDALL",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME53796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "07329",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL HMO",
            "identifier": "07329B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL HMO",
            "identifier": "07329A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041517100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R. CRAIG",
            "last_name": "KUYKENDALL",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.