Individual provider Active NPI

Kathryn Eleanor Patrick, M.D.

  • Maternal & Fetal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1578824967
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME128805 Issued in FL
Practice address
6440 W Newberry Rd Ste 507
Gainesville, FL 32605-8302
Phone
(352) 224-1840
NPI assigned
Jun 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRN17257 FL
Obstetrics & Gynecology Physician 207V00000X ME 128805 FL
Maternal & Fetal Medicine Physician 207VM0101X ME128805 FL Primary

Addresses

Primary practice location

6440 W Newberry Rd Ste 507
Gainesville, FL 32605-8302

Mailing address

6440 W Newberry Rd Ste 507
Gainesville, FL 32605-8302
Phone (352) 224-1840

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
I20160924000345 FL Practitioner - Obstetrics/Gynecology 6507092715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
81.9
Promoting interoperability
99
Improvement activities
40
Cost
75.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 128805FLMDObstetrics & Gynecology Physician
TRN17257FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgical Associates LLC CurrentSince May 6, 2024 Accepting new patients

Locations

1121 NW 64th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-6777

6440 W Newberry Rd
Ste 507
Gainesville, FL 32605
Phone (352) 224-1840

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kathryn.patrick@hca5.eclinicaldirectplus.com

Organizations & group practices 1

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": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1578824967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD STE 507",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326058302",
            "telephone_number": "352-224-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD STE 507",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326058302",
            "telephone_number": "352-224-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "KATHRYN",
        "middle_name": "ELEANOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-03",
        "last_updated": "2024-06-05",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN17257",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 128805",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME128805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.