Active NPI
Kenneth Arthur Neifeld, M.D.
- Internal Medicine Physician
- Seminole, FL
National Provider Identifier
1669400586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME64972
- Practice address
- 8900 Park Blvd
Seminole, FL 33777-4119 - Phone
- (727) 545-4545
- Fax
- (727) 548-1360
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | ME64972 | FL | Primary |
Addresses
Primary practice location
8900 Park Blvd
Seminole, FL 33777-4119
Mailing address
2191 9TH Avenue North
Suite 110
St Petersburg, FL 33713-7147
Phone (727) 820-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373852300 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME64972 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Care Medical Consultants PA | Current | Accepting new patients | |
| All Care Medical Consultants PA | Internal Medicine | Current | Accepting new patients |
| Ante Rudez MD PA | Past | Accepting new patients | |
| Suncoast Medical Clinic LLC | Past | Accepting new patients |
Locations
1745 S Highland Ave
Clearwater, FL 33756
Phone (727) 585-4488
8900 Park Blvd
Seminole, FL 33777
Phone (727) 545-4545
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1073510780
-
- Cardiovascular Disease Physician
- Seminole, FL
- NPI 1265940910
-
- Family Medicine Physician
- Orlando, FL
- NPI 1356595680
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1760664882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1669400586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 9TH AVENUE NORTH",
"address_2": "SUITE 110",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337137147",
"telephone_number": "727-820-7778",
"fax_number": "727-820-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 PARK BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337774119",
"telephone_number": "727-545-4545",
"fax_number": "727-548-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIFELD",
"first_name": "KENNETH",
"middle_name": "ARTHUR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME64972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373852300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.