Kissimmee Medical Center PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KISSIMMEE MEDICAL CENTER PA

Practice address

1910 W Oak St
Kissimmee, FL 34741-4301

Phone

(407) 343-4338

Fax

(407) 343-4335

NPI assigned

Dec 6, 2005

Last updated

Nov 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanti Singh, MDNPI 1144291980

Title

President

Phone

(407) 343-4338

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Shanti Singh, MD

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1144291980
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1558345173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414301",
            "telephone_number": "407-343-4338",
            "fax_number": "407-343-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414301",
            "telephone_number": "407-343-4338",
            "fax_number": "407-343-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-343-4338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256014300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kissimmee FL Opco LLC (Kissimmee Health and Rehabilitation Center)
• Kissimmee Health Care Associates LLC (Keystone Rehabilitation and Health Center)
• Kissimmee Injury Clinic LLC
• Kissimmee Limits Rehabilitation Center, LLC
• Kissimmee Med Supply LLC
• Kissimmee Medical Specialties P a
• Kissimmee Medical Supply
• Kissimmee Modern Dentistry, PA
• Kissimmee Nephrology & Hypertension, PA
• Kissimmee Nephrology & Hypertension, PA

• Internal Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.