Ronald Gary Klug, DNP-AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11018286 Issued in FL

Practice address

1900 N Mills Ave Ste 107
Orlando, FL 32803-1460

Phone

(407) 894-4880

Fax

(407) 894-2364

NPI assigned

Aug 2, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Arizona College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiorenal Therapeutics LLCGroup PAC ID 7416280425, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24896/brand/1/csg/1/fhir/r4

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.

• Cardiorenal Therapeutics LLC

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1457917304
  Medicare reassignment Care Compare group NPD
• Home Docs

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1518347038
  Medicare reassignment NPD
• Cardiovascular Interventions PA

  • Specialist
  • Orlando, FL
  • NPI 1790843332
  NPD (past)
• Akdhc, LLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1205274735
  NPD (past)
• Akdhc, LLC

  dba Arizona Kidney Disease & Hypertension Center, LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1316902208
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1679026017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N MILLS AVE STE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031460",
            "telephone_number": "407-894-4880",
            "fax_number": "407-894-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N MILLS AVE STE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031460",
            "telephone_number": "407-894-4880",
            "fax_number": "407-894-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUG",
        "first_name": "RONALD",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "DNP-AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8652",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11018286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Leigh Klipstine, APRN
• Alena Klochko, MD
• Raymond P. Kloepper, MD
• Mary Bernadette Kloth, LPTA
• Madison Kluegel
• Nicholas Klung
• KM Family Physician, LLC
• KM Home Care, LLC
• Kristin Anja Knackstedt, ATC, LAT
• Dennis Raymond Knapp Jr., MD

• Acute Care Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.