Individual provider Active NPI

Kenneth David Kronhaus, MD

  • Cardiovascular Disease Physician
  • Mount Dora, FL
National Provider Identifier
1700990546
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME048211 Issued in FL
Practice address
250 East Fourth Avenue
Mount Dora, FL 32757-5536
Phone
(352) 735-1400
Fax
(352) 735-3300
NPI assigned
Aug 18, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME048211 FL Primary

Addresses

Primary practice location

250 East Fourth Avenue
Mount Dora, FL 32757-5536

Mailing address

250 East Fourth Avenue
Mount Dora, FL 32757-5536
Phone (352) 735-1400

Other identifiers 1

IdentifierTypeStateIssuer
041771800MedicaidFL

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
I20100813000348 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254223407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Cardiology PAGroup PAC ID 4082506233, 2 clinicians

Practice addresses (Care Compare)

250 E 4TH Ave
Mount Dora, FL 32757-5536
Phone (352) 735-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME048211FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cardiology PA Cardiovascular Disease CurrentSince Dec 1, 1986 Accepting new patients

Locations

250 E 4th Ave
Mount Dora, FL 32757
Phone (352) 735-1400

Interoperability endpoints

  • Direct secure messaging: kenneth.kronhaus@lakecardiology.directbygreenway.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1700990546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EAST FOURTH AVENUE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575536",
            "telephone_number": "352-735-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EAST FOURTH AVENUE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575536",
            "telephone_number": "352-735-1400",
            "fax_number": "352-735-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONHAUS",
        "first_name": "KENNETH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME048211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041771800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.