Active NPI
Joshua Kaleb Kolmetz, M.D.
- Internal Medicine Physician
- Crestview, FL
National Provider Identifier
1699862599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME97211
- Practice address
- 369 N Main St
Crestview, FL 32536-3541 - Phone
- (850) 398-6963
- NPI assigned
- Oct 10, 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 | ME97211 | FL | Primary |
Addresses
Primary practice location
369 N Main St
Crestview, FL 32536-3541
Mailing address
369 N Main St
Crestview, FL 32536-3541
Phone (850) 398-6963
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278944200 | Medicaid | FL | |
| 95477 | Other | FL | BCBS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071119000016 | FL | Practitioner - Internal Medicine | 0345338786 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Florida College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Main Street Medical Center of Crestview PA
Practice addresses (Care Compare)
369 N Main St
Crestview, FL 32536-3541
Phone (850) 398-6963
Hospital & facility affiliations
- Centerwell Home Health
- Peoples Home Health LLC
- Stat Home Health Florida Panhandle LLC
- Amedisys Home Health
- North Okaloosa Medical Center
- HCA Florida Twin Cities Hospital
- Sacred Heart Hospital
- Sacred Heart Hospital on the Emerald Coast
- HCA Florida West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97211 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Medical Center of Crestview, PA | Internal Medicine | Current | Accepting new patients |
| Crestview Hospital Company LLC | Internal Medicine | Past | Accepting new patients |
Locations
369 N Main St
Crestview, FL 32536
Phone (850) 398-6963
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
Interoperability endpoints
- kolmetzj@yourcarecommunity.org
- joshua.kolmetz@msmc.eclinicaldirectplus.com
Organizations & group practices 2
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
- Crestview, FL
- NPI 1619181914
FL, Internal Medicine
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Shalimar, FL
- NPI 1518991215
-
- Home Health Agency
- Pensacola, FL
- NPI 1679685085
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
Hospital
-
- Home Health Agency
- Pensacola, FL
- NPI 1801931837
-
- Home Health Agency
- Pensacola, FL
- NPI 1861782443
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1699862599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 N MAIN ST",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325363541",
"telephone_number": "850-398-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 N MAIN ST",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325363541",
"telephone_number": "850-398-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLMETZ",
"first_name": "JOSHUA",
"middle_name": "KALEB",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME97211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278944200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "95477",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.