Individual provider Active NPI

Shrinath Sheshgiri Kamat, MD PA

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1851380265
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0056625 Issued in FL
Practice address
2908 W Waters Ave
Ste 102
Tampa, FL 33614-1855
Phone
(813) 931-9294
Fax
(813) 936-0053
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME0056625 FL Primary

Addresses

Primary practice location

2908 W Waters Ave
Ste 102
Tampa, FL 33614-1855

Mailing address

2908 W Waters Ave
Ste 102
Tampa, FL 33614-1855
Phone (813) 931-9294

Other identifiers 3

IdentifierTypeStateIssuer
101860OtherAVMED
063407700MedicaidFL
10310OtherBLUE CROSS

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
I20050927000904 FL Practitioner - Neurology 3577598705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2908 W Waters Ave
Suite 102
Tampa, FL 33614-1874
Phone (813) 931-9294

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056625FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shrinath S. Kamat, M.D.,P.a. Neurology CurrentSince Aug 1, 2005 Accepting new patients

Locations

2908 W Waters Ave
Ste 102
Tampa, FL 33614
Phone (813) 931-9294

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1851380265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 W WATERS AVE",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141855",
            "telephone_number": "813-931-9294",
            "fax_number": "813-936-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 W WATERS AVE",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141855",
            "telephone_number": "813-931-9294",
            "fax_number": "813-936-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAT",
        "first_name": "SHRINATH",
        "middle_name": "SHESHGIRI",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0056625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "101860",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063407700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10310",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.