Individual provider Active NPI

Robert J Kitos, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1760462055
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME35468 Issued in FL
Practice address
3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906
Phone
(352) 433-2392
Fax
(352) 433-2898
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME35468 FL Primary

Addresses

Primary practice location

3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906

Mailing address

3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906
Phone (352) 433-2392

Other identifiers 2

IdentifierTypeStateIssuer
79511OtherFLBCBS
268535300MedicaidFL

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
I20040131000041 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4981507498 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35468FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Sep 23, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Sep 23, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
CNS Holding Company LLC PastSince Dec 1, 1998 Accepting new patients

Locations

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

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

3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607
Phone (813) 289-6597

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1760462055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NORTH ROCKY POINT DRIVE WEST",
            "address_2": "SUITE 670",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075906",
            "telephone_number": "352-433-2392",
            "fax_number": "352-433-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTH ROCKY POINT DRIVE WEST",
            "address_2": "SUITE 670",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075906",
            "telephone_number": "352-433-2392",
            "fax_number": "352-433-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITOS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME35468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79511",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268535300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.