NPIMap

Individual provider Active NPI

Kalpana Gorthi, MD

  • Internal Medicine Physician
  • Rockledge, FL
National Provider Identifier
1811195894
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME134226 Issued in FL
Practice address
3155 Suntree Blvd Ste 102
Rockledge, FL 32955-5720
Phone
(321) 425-3187
Fax
(321) 425-3188
NPI assigned
Jul 11, 2007
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 0436474 KS
Internal Medicine Physician 207R00000X ME134226 FL Primary

Addresses

Primary practice location

3155 Suntree Blvd Ste 102
Rockledge, FL 32955-5720

Mailing address

3155 Suntree Blvd Ste 102
Rockledge, FL 32955-5720
Phone (321) 425-3187

Other identifiers 1

IdentifierTypeStateIssuer
024779300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180613002061 FL Practitioner - Internal Medicine 4587853189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3155 Suntree Blvd
Suite 102
Rockledge, FL 32955-5720
Phone (321) 425-3187

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134226FLMDInternal Medicine Physician
0436474KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalpana Gorthi, MD, PLLC Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Florida Heart and Vascular Specialists LLC CurrentSince Jan 28, 2024 Accepting new patients

Locations

640 Classic Ct
Ste 102
Melbourne, FL 32940
Phone (321) 242-8228

6450 N Wickham Rd
Ste 106
Melbourne, FL 32940
Phone (321) 425-3187

3155 Suntree Blvd
Unit 102
Rockledge, FL 32955
Phone (321) 425-3187

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICCEBD/Endpoint/ICCEBD

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1811195894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 SUNTREE BLVD STE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555720",
            "telephone_number": "321-425-3187",
            "fax_number": "321-425-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SUNTREE BLVD STE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555720",
            "telephone_number": "321-425-3187",
            "fax_number": "321-425-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORTHI",
        "first_name": "KALPANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0436474",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME134226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024779300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.