Individual provider Active NPI

Kevin Westray Holcombe, MD

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1659377141
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME112246 Issued in FL
Practice address
1000 36TH St
Vero Beach, FL 32960-4862
Phone
(772) 567-4311
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME112246 FL Primary

Addresses

Primary practice location

1000 36TH St
Vero Beach, FL 32960-4862

Mailing address

3768 Sunward Dr
Merritt Island, FL 32953-8051
Phone (864) 238-5448

Other practice location 1

947 Barefoot Blvd
Barefoot Bay, FL 32976-7101
Phone (321) 593-6999

Other identifiers 2

IdentifierTypeStateIssuer
214501MedicaidSC
117249900MedicaidFL

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
I20120921000726 FL Practitioner - Family PracticePractitioner - Emergency Medicine 5890758551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

3450 11TH CT
Vero Beach, FL 32960-5012
Phone (772) 794-3364

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24150SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 6, 2025 Accepting new patients
Shaw Medical Group LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 6, 2025 Accepting new patients
Hillside Emergency Physicians Emergency Medicine Past Accepting new patients
South Carolina Em-I Medical Services, PC Emergency Medicine Past Accepting new patients
South Carolina Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Pelican Coast Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Boyce Emergency Group PC Emergency Medicine Past Accepting new patients
Easley Physician Partners PLLC Emergency Medicine Past Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine PastSince Apr 19, 2020 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine Past Accepting new patients
Greenville Health System Past Accepting new patients
Doctors Care, PA Emergency Medicine Past Accepting new patients
Wren Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

947 Barefoot Blvd
Sebastian, FL 32976
Phone (321) 593-6999

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

3450 11th Ct
Ste 201
Vero Beach, FL 32960
Phone (772) 794-3364

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1659377141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 SUNWARD DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538051",
            "telephone_number": "864-238-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-567-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "947 Barefoot Blvd",
            "address_purpose": "LOCATION",
            "city": "Barefoot Bay",
            "state": "FL",
            "postal_code": "329767101",
            "country_code": "US",
            "telephone_number": "321-593-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLCOMBE",
        "first_name": "KEVIN",
        "middle_name": "WESTRAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME112246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214501",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117249900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.