Individual provider Active NPI

Chris Kechriotis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tavares, FL
National Provider Identifier
1891721627
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME0055309 Issued in FL
Practice address
1000 Waterman Way
Tavares, FL 32778-5266
Phone
(352) 253-3374
Fax
(352) 589-4140
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME0055309 FL Primary

Addresses

Primary practice location

1000 Waterman Way
Tavares, FL 32778-5266

Mailing address

2755 S Bay St
Suite C
Eustis, FL 32726-6587
Phone (352) 343-3434

Other identifiers 1

IdentifierTypeStateIssuer
054387000MedicaidFL

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
I20101027000876 FL Practitioner - Pathology 4284698994 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Pathology Group PAGroup PAC ID 5294799904, 2 clinicians
Keller and Goodman MD, PAGroup PAC ID 9133253560, 2 clinicians

Practice addresses (Care Compare)

1000 Waterman Way
Dept of Pathology
Tavares, FL 32778-5266
Phone (352) 253-3374

1879 Nightingale LN
Suite 2
Tavares, FL 32778-4363
Phone (352) 742-7776

Hospital & facility affiliations

  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0055309FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keller & Goodman MD, PA CurrentSince Mar 1, 2017 Accepting new patients
Lake Gastroenterology Associates LLC CurrentSince Mar 1, 2017 Accepting new patients
Ronald Roth MD PA CurrentSince Mar 1, 2017 Accepting new patients
Gastroenterology and Nutrition of Central Florida LLC CurrentSince Mar 1, 2017 Accepting new patients
Central Florida Pathology Group,P.a. Anatomic Pathology & Clinical Pathology CurrentSince Jun 3, 1989 Accepting new patients
Central Florida Urology Associates Past Accepting new patients
Santiago W Calderon MD PA Past Accepting new patients

Locations

2755 S Bay St
Ste C
Eustis, FL 32726

822 Perkins St
Leesburg, FL 34748
Phone (352) 315-4111

1824 Salk Ave
Tavares, FL 32778
Phone (352) 253-0244

1879 Nightingale Ln
Ste C2
Tavares, FL 32778
Phone (352) 742-7776

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1858 Mayo Dr
Tavares, FL 32778
Phone (352) 383-5200

910 Old Camp Rd
Ste 152
The Villages, FL 32162
Phone (352) 383-5200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1891721627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S BAY ST",
            "address_2": "SUITE C",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266587",
            "telephone_number": "352-343-3434",
            "fax_number": "352-589-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785266",
            "telephone_number": "352-253-3374",
            "fax_number": "352-589-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECHRIOTIS",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME0055309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054387000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.