Katherine A Macoul, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME80016 Issued in FL

Practice address

3280 N McMullen Booth Rd Ste 120
Clearwater, FL 33761

Phone

(727) 789-8770

Fax

(727) 789-8784

NPI assigned

Oct 3, 2006

Sex

Female

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: kmacoul@directaddress.net

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.

• Suncoast Retina Consultants, LLC

  • Ophthalmology Physician
  • Hudson, FL
  • NPI 1730233388

  FL

  Medicare reassignment
• Palm Beach Eye Center Inc

  • Ophthalmology Physician
  • Delray Beach, FL
  • NPI 1912568387

  Ophthalmology

  NPD (past)
• St Lukes Cataract & Laser Institute

  • Ophthalmology Physician
  • Tarpon Springs, FL
  • NPI 1154316628

  Ophthalmology

  NPD (past)
• The Eye Physicians of Pinellas, PA

  • Ambulatory Surgical Clinic/Center
  • Largo, FL
  • NPI 1366710741
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1710071691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 859",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346820859",
            "telephone_number": "727-789-8770",
            "fax_number": "727-789-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N MCMULLEN BOOTH RD STE 120",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-789-8770",
            "fax_number": "727-789-8784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11834 County Road 101",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321629340",
            "country_code": "US",
            "telephone_number": "727-789-8770",
            "fax_number": "727-789-8784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338031116",
            "country_code": "US",
            "telephone_number": "727-789-8770",
            "fax_number": "727-789-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACOUL",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME80016",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME80016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilianne Macias, APRN
• Alexander (Nmi) Mackenzie, RPH
• David Alexander Mackenzie, RPH
• Lynnette D Mackenzie, PSYD
• Nicole Kristine Macknew, LCSW
• Michele Macready, RN
• Sanjay K Madan, MD
• Angelina Maddaloni, PA-C
• Edward Henry Madden
• Samuel Maddox

• All providers in Clearwater, FL
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.