Individual provider Active NPI

Nupur Godbole Kroger, MD

  • Geriatric Psychiatry Physician
  • Temple Terrace, FL
National Provider Identifier
1699330944
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
ME150389 Issued in FL
Practice address
9222 Overlook Dr
Temple Terrace, FL 33617-5422
Phone
(813) 388-8711
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X ME150389 FL Primary

Addresses

Primary practice location

9222 Overlook Dr
Temple Terrace, FL 33617-5422

Mailing address

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone (813) 388-8711

Other practice location 1

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone (813) 388-8711

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
I20251224001230 FL Practitioner - Geriatric Psychiatry 2567957798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
University of South Florida College of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9222 Overlook Dr
Temple Terrace, FL 33617-5422
Phone (904) 881-9713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150389FLMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prefrontal Pathways, Inc Geriatric Psychiatry CurrentSince Jan 1, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nupur.kroger.1@33079.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1699330944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-388-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 OVERLOOK DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175422",
            "telephone_number": "813-388-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336124745",
            "country_code": "US",
            "telephone_number": "813-388-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROGER",
        "first_name": "NUPUR",
        "middle_name": "GODBOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME150389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.