Organization Active NPI

Arleta Anna Kitlas, M. D., PA

  • Nephrology Physician
  • Bradenton, FL
National Provider Identifier
1770874141
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME 106492 Issued in FL
Legal business name
ARLETA ANNA KITLAS, M. D., PA
Practice address
5015 Manatee Ave W
Bradenton, FL 34209-3857
Phone
(941) 792-5578
Fax
(941) 798-3603
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Arleta Anna Kitlas, M.D.NPI 1891985396
Title
Owner/President
Phone
(941) 792-5578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X ME 106492 FL Primary

Addresses

Primary practice location

5015 Manatee Ave W
Bradenton, FL 34209-3857

Mailing address

5015 Manatee Ave W
Bradenton, FL 34209-3857
Phone (941) 792-5578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110708000256 FL Part B Supplier - Clinic/Group Practice 5092993303 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

5015 Manatee Ave W
Bradenton, FL 34209
Phone (941) 792-5578

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1770874141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093857",
            "telephone_number": "941-792-5578",
            "fax_number": "941-798-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093857",
            "telephone_number": "941-792-5578",
            "fax_number": "941-798-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLETA ANNA KITLAS, M. D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "KITLAS",
        "authorized_official_first_name": "ARLETA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "941-792-5578",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 106492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.