Active NPI
Karen P Tootle, M.D.
- Internal Medicine Physician
- Wesley Chapel, FL
National Provider Identifier
1821035973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101050961
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821035973 | Medicaid | VA | |
| 3810017461 | Medicaid | VA | |
| 1522382 | Medicaid | TN | |
| 7100128730 | Medicaid | VA | |
| TN0123 | Other | TN | JOHN 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101050961 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care PA | Current | 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.
-
- Urgent Care Clinic/Center
- Pinecrest, FL
- NPI 1770719296
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.