Organization Active NPI

Spine and Rehab Medicine, P.a.

  • Physical Medicine & Rehabilitation Physician
  • Spring Hill, FL
National Provider Identifier
1871649566
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME0071891 Issued in FL
Legal business name
SPINE AND REHAB MEDICINE, P.A.
Practice address
1234 Mariner Blvd
Spring Hill, FL 34606
Phone
(352) 688-3301
Fax
(352) 688-3302
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Suhas Murlidhar Kulkarni, M.D.NPI 1669528451
Title
President
Phone
(352) 688-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X ME0071891 FL Primary

Addresses

Primary practice location

1234 Mariner Blvd
Spring Hill, FL 34606

Mailing address

PO Box 1989
Lutz, FL 33548-1989
Phone (352) 688-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110126000657 FL Part B Supplier - Clinic/Group Practice 9739368564 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Hill, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1871649566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1989",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335481989",
            "telephone_number": "352-688-3301",
            "fax_number": "352-688-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34606",
            "telephone_number": "352-688-3301",
            "fax_number": "352-688-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND REHAB MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "KULKARNI",
        "authorized_official_first_name": "SUHAS",
        "authorized_official_middle_name": "MURLIDHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-688-3301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME0071891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.