Individual provider Active NPI

Harish Kasetty, PA-C

  • Physician Assistant
  • Winter Park, FL
National Provider Identifier
1730851635
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9114914 Issued in FL
Practice address
1801 Lee Rd Ste 115-175
Winter Park, FL 32789-2162
Phone
(866) 400-3376
Fax
(407) 647-5496
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9114914 FL Primary

Addresses

Primary practice location

1801 Lee Rd Ste 115-175
Winter Park, FL 32789-2162

Mailing address

151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (866) 400-3376

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025001791 FL Practitioner - Physician Assistant 2062800071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leavitt Medical Associates of Florida IncGroup PAC ID 4688579311, 199 clinicians

Practice addresses (Care Compare)

1410 W Broadway St
Suite 205
Oviedo, FL 32765-6472
Phone (407) 359-2100

1503 Buenos Aires Blvd
Suite 100
The Villages, FL 32159-6825
Phone (352) 753-2812

1507 Park Ctr Dr
Suite 1D
Orlando, FL 32835-5795
Phone (407) 445-9445

202 Lake Miriam Dr
Suite S1
Lakeland, FL 33813-2188
Phone (863) 647-2333

2955 Brownwood Blvd
Suite 204
The Villages, FL 32163-2040
Phone (352) 571-7000

340 Heald Way
238 Advanced Dermatology and Cosmetic S
The Villages, FL 32163-6088
Phone (352) 571-7000

4132 Woodlands Pkwy
Palm Harbor, FL 34685-3494
Phone (727) 786-5100

818 N Woodland Blvd
Deland, FL 32720-2709
Phone (386) 738-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9114914FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc CurrentSince Nov 1, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Nov 1, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc PastSince Jan 12, 2025 Accepting new patients
Leavitt Medical Associates of Florida Inc PastSince Jan 12, 2025 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1918 SE 17th St
#300
Ocala, FL 34471
Phone (352) 620-2420

1507 Park Center Dr
Ste 1D
Orlando, FL 32835
Phone (407) 445-9445

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

340 Heald Way
Ste 238
The Villages, FL 32163
Phone (352) 571-7000

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

1801 Lee Rd
Ste 115
Winter Park, FL 32789
Phone (407) 644-1500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1730851635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "866-400-3376",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LEE RD STE 115-175",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892162",
            "telephone_number": "866-400-3376",
            "fax_number": "407-647-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASETTY",
        "first_name": "HARISH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9114914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.