Individual provider Active NPI

Kerrie Fearon Pounall, M.D

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1598201931
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME126808 Issued in FL
Practice address
2810 W Saint Isabel St Ste 201
Tampa, FL 33607-6375
Phone
(813) 890-8004
Fax
(813) 290-9691
NPI assigned
Jan 9, 2017
Last updated
May 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME126808 FL Primary

Addresses

Primary practice location

2810 W Saint Isabel St Ste 201
Tampa, FL 33607-6375

Mailing address

PO Box 20065
Tampa, FL 33622-0065
Phone (813) 890-8004

Other identifiers 1

IdentifierTypeStateIssuer
105168000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170203001645 MO Practitioner - Internal MedicinePractitioner - Hospitalist 4183907835 Reassigns benefits to 2 organizations
I20200218003177 FL Practitioner - Internal Medicine 4183907835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Hospitalists PAGroup PAC ID 6406814060, 24 clinicians

Practice addresses (Care Compare)

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Endocrinology, Diabetes and Metabolism, Inc. CurrentSince Nov 15, 2023 Accepting new patients
Bay Area Hospitalists PA Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Signify Health, LLC CurrentSince Dec 17, 2025 Accepting new patients

Locations

752 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 333-1212

752 Stirling Center Pl
Ste 1008
Lake Mary, FL 32746
Phone (407) 333-1212

2810 W Saint Isabel St
Ste 201
Tampa, FL 33607
Phone (813) 681-0141

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEBDA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1598201931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20065",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220065",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARON POUNALL",
        "first_name": "KERRIE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105168000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.