Active NPI
Karin Ann Ochoa, MD
- Internal Medicine Physician
- Titusville, FL
National Provider Identifier
1750384160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0068220
- Practice address
- 3300 Dairy Rd
Titusville, FL 32796 - Phone
- (321) 269-6530
- Fax
- (321) 269-2334
- NPI assigned
- May 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME68220 | FL | |
| Internal Medicine Physician | 207R00000X | ME0068220 | FL | Primary |
Addresses
Primary practice location
3300 Dairy Rd
Titusville, FL 32796
Mailing address
3300 Dairy Rd
Titusville, FL 32796
Phone (321) 269-6530
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68211 | Other | CHAMVA | |
| 2506343000 | Medicaid | FL | |
| 27512 | Other | FL | BCBS |
| 250634300 | Medicaid | FL | |
| 593392581 | Other | FL | TAX ID CORPORATE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100208000666 | FL | Practitioner - Internal Medicine | 6901951540 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0068220 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Medical Office PA | Specialist | Current | Accepting new patients |
Locations
3300 Dairy Rd
Titusville, FL 32796
Phone (321) 267-6687
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFFICA
Organizations & group practices 1
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.
-
- Specialist
- Titusville, FL
- NPI 1245220557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1750384160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 DAIRY RD",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "32796",
"telephone_number": "321-269-6530",
"fax_number": "321-269-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 DAIRY RD",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "32796",
"telephone_number": "321-269-6530",
"fax_number": "321-269-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHOA",
"first_name": "KARIN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME68220",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0068220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMVA",
"identifier": "68211",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2506343000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27512",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250634300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID CORPORATE",
"identifier": "593392581",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.