Individual provider Active NPI

Kevin Galopin, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Vero Beach, FL
National Provider Identifier
1770912495
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1820 58TH Ave Ste 110
Vero Beach, FL 32966-4675
Phone
(321) 307-6850
NPI assigned
Nov 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

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 Primary

Addresses

Primary practice location

1820 58TH Ave Ste 110
Vero Beach, FL 32966-4675

Mailing address

1820 58TH Ave Ste 110
Vero Beach, FL 32966-4675
Phone (321) 307-6850

Other identifiers 1

IdentifierTypeStateIssuer
007321MedicaidAZ

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
I20201119000561 FL Practitioner - Physician Assistant 2860629540 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hma-Solantic Joint Venture LLC 8 clinicians
Solantic/South Florida LLC 27 clinicians

Practice addresses (Care Compare)

1820 58TH Ave
Suite 110
Vero Beach, FL 32966-4675
Phone (772) 257-3200

784 E Prima Vista Blvd
Port St Lucie, FL 34952-2271
Phone (772) 878-7311

9035 Pines Blvd
Pembroke Pines, FL 33024-6440
Phone (954) 378-0333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11484MNMDPhysical Therapist
2016MNMDMassage Therapist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Chandler Urgent Care LLC Past Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1770912495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 58TH AVE STE 110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329664675",
            "telephone_number": "321-307-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 58TH AVE STE 110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329664675",
            "telephone_number": "321-307-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALOPIN",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007321",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.