NPIMap

Organization Active NPI

Cool Kidz Pediatrics LLC

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1710468848
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COOL KIDZ PEDIATRICS LLC
Practice address
2123 W Dr Martin Luther King Jr Blvd Ste 201
Tampa, FL 33607-6545
Phone
(813) 873-1725
NPI assigned
Aug 27, 2018
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COOL KIDZ PEDIATRICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Dr. Keshava H Babu, MD
Title
Managing Member
Phone
(813) 223-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

2123 W Dr Martin Luther King Jr Blvd Ste 201
Tampa, FL 33607-6545

Mailing address

208 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3602

Other practice location 1

1111 7th Ave N Ste 103
St Petersburg, FL 33705-1348
Phone (727) 822-5393

Other identifiers 1

IdentifierTypeStateIssuer
067708600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Cool Kidz Pediatrics LLC3 organizations share this tax ID, including this one
Part of
Cool Kidz Pediatrics LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 N Parsons Ave
Brandon, FL 33510

301 N Parsons Ave
Ste A
Brandon, FL 33510
Phone (813) 655-5807

1111 7th Ave N
Ste 105
St Petersburg, FL 33705
Phone (727) 894-4738

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1710468848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-873-1725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 7th Ave N Ste 103",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051348",
            "country_code": "US",
            "telephone_number": "727-822-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COOL KIDZ PEDIATRICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOL KIDZ PEDIATRICS LLC",
        "enumeration_date": "2018-08-27",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "BABU",
        "authorized_official_first_name": "KESHAVA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-223-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067708600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.