Cool Kidz Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

COOL KIDZ PEDIATRICS LLC

Practice address

301 N Parsons Ave Ste a
Brandon, FL 33510-4517

Phone

(813) 655-5807

NPI assigned

Aug 8, 2022

Organization subpart

Yes

Parent organization

COOL KIDZ PEDIATRICS LLCAs reported in NPPES

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

Authorized official

Name

Keshava Babu, MD

Title

Medical Director

Phone

(813) 655-5807

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cool Kidz Pediatrics LLC3 organizations share this tax ID, including this one

Part of

Cool Kidz Pediatrics LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cool Kidz Pediatrics LLC

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1215506506
  NPD tax ID
• Cool Kidz Pediatrics LLC

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1710468848
  NPD tax ID

Practitioners 5

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

• Anilkumar R Patel, MD

  • Pediatrics Physician
  • Brandon, FL
  • NPI 1295848554
  NPD
• Sabrina Theresa Cardona, MD

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1063471043
  NPD (past)
• Ann B. Fine, A.R.N.P.

  • Pediatric Nurse Practitioner
  • Saint Petersburg, FL
  • NPI 1821013327
  NPD (past)
• Salisha Mohammed

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1699395723
  NPD (past)
• Omar Rosa Lopez, FNP-C

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1285468082
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1891423976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033602",
            "telephone_number": "813-873-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PARSONS AVE STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104517",
            "telephone_number": "813-655-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOL KIDZ PEDIATRICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOL KIDZ PEDIATRICS LLC",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "BABU",
        "authorized_official_first_name": "KESHAVA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-655-5807",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Linn Conway, DPM
• Bonnie Cook-Ott
• Gary Cook, DO
• Heidi H Cook, APRN
• Jeffery B Cook, DMD
• Katherine Margaret Cooper
• Kerry Christine Cooper
• Melinda Cooper, LTM
• Pia Marie Cooper, PA-C
• Taylor Nichole Cooper

• Pediatrics Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.