Active NPI
Moshe Kedan, M.D.
- Internal Medicine Physician
- Clearwater, FL
National Provider Identifier
1831187640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME24699
- Practice address
- 611 Druid Rd E
Suite 306
Clearwater, FL 33756-3959 - Phone
- (727) 441-3761
- Fax
- (727) 443-0768
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME24699 | FL | Primary |
Addresses
Primary practice location
611 Druid Rd E
Suite 306
Clearwater, FL 33756-3959
Mailing address
611 Druid Rd E
Suite 306
Clearwater, FL 33756-3959
Phone (727) 441-3761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78061 | Other | FL | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 28, 2013 through Mar 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME24699 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831187640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 DRUID RD E",
"address_2": "SUITE 306",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563959",
"telephone_number": "727-441-3761",
"fax_number": "727-443-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 DRUID RD E",
"address_2": "SUITE 306",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563959",
"telephone_number": "727-441-3761",
"fax_number": "727-443-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEDAN",
"first_name": "MOSHE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME24699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "78061",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.