Individual provider Active NPI

Cristina E Cuevas Korensky, MD

  • Internal Medicine Physician
  • Dade City, FL
National Provider Identifier
1659301901
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME49245 Issued in FL
Practice address
13325 Thoroughbred Dr
Dade City, FL 33525-6215
Phone
(352) 588-2747
NPI assigned
Jul 3, 2006
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME49245 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME49245 FL
Hospitalist Physician 208M00000X ME49245 FL

Addresses

Primary practice location

13325 Thoroughbred Dr
Dade City, FL 33525-6215

Mailing address

13325 Thoroughbred Dr
Dade City, FL 33525-6215
Phone (352) 588-2747

Other identifiers 2

IdentifierTypeStateIssuer
259712800MedicaidFL
P00143115OtherFLRR MEDICARE

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
I20040225000606 FL Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7810883972 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Adventhealth Primary Care Network Inc Internal Medicine Past Accepting new patients
University Medical Service Association Inc Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Memorial Hospital Flagler Inc. Past Accepting new patients
Memorial Hospital Flagler Inc Past Accepting new patients
Cogent Healthcare of Fort Myers, LLC Internal Medicine Past Accepting new patients

Locations

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1659301901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 THOROUGHBRED DR",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335256215",
            "telephone_number": "352-588-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 THOROUGHBRED DR",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335256215",
            "telephone_number": "352-588-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS KORENSKY",
        "first_name": "CRISTINA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME49245",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME49245",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME49245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259712800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00143115",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

Verify at the official NPI Registry.