Active NPI
Kevin Michael McGaharan, M.D.
- Physical Medicine & Rehabilitation Physician
- Sarasota, FL
National Provider Identifier
1710086657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 41965
- Practice address
- 5580 Bee Ridge Rd
Building B
Sarasota, FL 34233-1505 - Phone
- (941) 921-3500
- Fax
- (941) 921-3300
- NPI assigned
- Sep 21, 2006
- Last updated
- Sep 22, 2011
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 41965 | FL | Primary |
Addresses
Primary practice location
5580 Bee Ridge Rd
Building B
Sarasota, FL 34233-1505
Mailing address
PO Box 53067
Sarasota, FL 34232-0326
Phone (941) 921-3500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0673579 | Medicaid | FL | |
| 201139 | Other | FL | AMERIGROUP |
| 58385 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41965 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Rehabilitation Associates PLLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Sarasota Pain Management, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Sarasota, FL
- NPI 1104881291
-
- Pain Medicine Physician
- Sarasota, FL
- NPI 1639464191
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1710086657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53067",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342320326",
"telephone_number": "941-921-3500",
"fax_number": "941-921-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5580 BEE RIDGE RD",
"address_2": "BUILDING B",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342331505",
"telephone_number": "941-921-3500",
"fax_number": "941-921-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAHARAN",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "41965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0673579",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "201139",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "58385",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.