Individual provider Active NPI

Karen P Tootle, M.D.

  • Internal Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1821035973
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101050961 Issued in VA
Practice address
5504 Gateway Blvd
Wesley Chapel, FL 33544-1900
Phone
(813) 948-5400
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101050961 VA Primary
Emergency Medicine Physician 207P00000X 0101050961 VA

Addresses

Primary practice location

5504 Gateway Blvd
Wesley Chapel, FL 33544-1900

Mailing address

2564 Southpointe Dr
Dunedin, FL 34698-6543
Phone (727) 408-5079

Other identifiers 5

IdentifierTypeStateIssuer
1821035973MedicaidVA
3810017461MedicaidVA
1522382MedicaidTN
7100128730MedicaidVA
TN0123OtherTNJOHN DEERE

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
I20130515000200 FL Practitioner - Family PracticePractitioner - Internal Medicine 0749291326 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101050961VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince May 3, 2023 Accepting new patients
American Current Care PA CurrentSince May 3, 2023 Accepting new patients
Johnston Memorial Hospital, Inc Past Accepting new patients

Locations

1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1821035973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 SOUTHPOINTE DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986543",
            "telephone_number": "727-408-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 GATEWAY BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335441900",
            "telephone_number": "813-948-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTLE",
        "first_name": "KAREN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101050961",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101050961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821035973",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810017461",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522382",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100128730",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0123",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.