Individual provider Active NPI

Ebrahim H Karkevandian, D.O.

  • Emergency Medicine Physician
  • Tampa, FL
National Provider Identifier
1740233238
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS8706 Issued in FL
Practice address
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone
(813) 870-4000
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS8706 FL Primary

Addresses

Primary practice location

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

Mailing address

PO Box 550643
Tampa, FL 33655-0643
Phone (813) 874-5707

Other practice location 1

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5467

Other practice location 2

550 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-2273

Other practice location 3

3800 Meggison Rd
The Villages, FL 32163-3028
Phone (352) 643-7555

Other practice location 4

1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 643-7555

Other practice location 5

17021 US Highway 441
Mount Dora, FL 32757-6734
Phone (352) 720-7999

Other practice location 6

4405 S US Highway 27
Clermont, FL 34711-5384
Phone (352) 323-5200

Other identifiers 2

IdentifierTypeStateIssuer
266795900MedicaidFL
78708OtherFLBLUE CROSS

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
I20040528000669 FL Practitioner - Emergency Medicine 9931180536 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles (26 of 27)

OrganizationSpecialtyStatusNew patients
Leesburg Regional Medical Center Physician Services LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Tampa General Hospital Current Accepting new patients
Observation Medical Group LLC Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Observation Medical Group LLC Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince May 11, 2023 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Emergency Medical Associates of Tampa Bay, LLC Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Doctor on Duty, LLC CurrentSince Apr 1, 2014 Accepting new patients
Community Hospital Family Practice LLC Past Accepting new patients
Emergency Physicians of Saint Clares LLC Emergency Medicine PastSince Jan 1, 2012 Accepting new patients
Baydock Emergency Physicians Emergency Medicine Past Accepting new patients
Tarpon Springs Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Palms of Pasadena Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
West Florida Trauma Network, LLC Past Accepting new patients
Dolphin Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Essex Emergency Associates, P.a. Emergency Medicine Past Accepting new patients
Sabal Palm Emergency Physicians Emergency Medicine Past Accepting new patients
Best Care Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Quality Drive Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Palm Harbor Emergency Physicians Emergency Medicine Past Accepting new patients
Capri Emergency Physicians Emergency Medicine Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients
Brodrick ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients

Locations (25 of 28)

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

4405 S US Highway 27
Clermont, FL 34711
Phone (352) 243-3367

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

550 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-2273

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

35750 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-8420

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

3800 Meggison Rd
The Villages, FL 32163
Phone (352) 570-6100

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ekarkevandian267567@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: ekarkevandian639961@direct.shands.ufl.edu

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1740233238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550643",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336550643",
            "telephone_number": "813-874-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-870-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-323-5467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-323-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Meggison Rd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321633028",
            "country_code": "US",
            "telephone_number": "352-643-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321590041",
            "country_code": "US",
            "telephone_number": "352-643-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17021 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576734",
            "country_code": "US",
            "telephone_number": "352-720-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4405 S US Highway 27",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347115384",
            "country_code": "US",
            "telephone_number": "352-323-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARKEVANDIAN",
        "first_name": "EBRAHIM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS8706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266795900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "78708",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.