Active NPI
Kevin Pacholec
- Internal Medicine Physician
- St Petersburg, FL
National Provider Identifier
1609404011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS20227
- Practice address
- 150 2ND Ave N Ste 510
St Petersburg, FL 33701-3395 - Phone
- (727) 502-2000
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS20227 | FL | Primary |
Addresses
Primary practice location
150 2ND Ave N Ste 510
St Petersburg, FL 33701-3395
Mailing address
150 2ND Ave N Ste 510
St Petersburg, FL 33701-3395
Phone (727) 502-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20227 | FL | MD | Internal Medicine Physician |
Interoperability endpoints
- kevin.pacholec@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1609404011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 2ND AVE N STE 510",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013395",
"telephone_number": "727-502-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 2ND AVE N STE 510",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013395",
"telephone_number": "727-502-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHOLEC",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS20227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.