Individual provider Active NPI

Karen Marie Farris, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1891835120
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME95653 Issued in FL
Practice address
501 6TH Ave S
St Petersburg, FL 33701-4634
Phone
(727) 767-8480
Fax
(727) 767-4970
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME95653 FL Primary

Addresses

Primary practice location

501 6TH Ave S
St Petersburg, FL 33701-4634

Mailing address

PO Box 1508
Venice, FL 34284-1508
Phone (941) 486-3483

Other identifiers 2

IdentifierTypeStateIssuer
277625100MedicaidFL
01300OtherFLFLORIDA BLUE CROSS

Other names 1

  • Karen Marie Gross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ, DE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070823000082 FL Practitioner - Diagnostic Radiology 6709978679 Reassigns benefits to 4 organizations
I20230508002080 NJ Practitioner - Diagnostic Radiology 6709978679 Reassigns benefits to 1 organization
I20230508002372 DE Practitioner - Diagnostic Radiology 6709978679 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95653FLMDDiagnostic Radiology Physician

Practice roles (17 of 19)

OrganizationSpecialtyStatusNew patients
Ohri, LLC CurrentSince Jul 21, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
The Nemours Foundation CurrentSince Feb 15, 2023 Accepting new patients
The Nemours Foundation Current Accepting new patients
MRI Associates of St Pete Inc CurrentSince Dec 1, 2022 Accepting new patients
The Nemours Foundation CurrentSince Mar 1, 2023 Accepting new patients
The Nemours Foundation CurrentSince Feb 15, 2023 Accepting new patients
Ohri, LLC Diagnostic Radiology Current Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Sep 26, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Nemours New Jersey Physician Practice, P.C. CurrentSince Mar 1, 2023 Accepting new patients
West Hernando Diagnostic and M.R. Center, Inc Diagnostic Radiology CurrentSince Sep 26, 2022 Accepting new patients
Radiology Associates of Tampa PA Diagnostic Radiology Past Accepting new patients
SMH Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Prestige Imaging LLC Diagnostic Radiology Past Accepting new patients
Pediatric Physician Services, Inc. Past Accepting new patients
Tower Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

7615 Jacque Rd
Hudson, FL 34667
Phone (727) 697-0100

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700

3315 Commercial Way
Spring Hill, FL 34606
Phone (325) 688-5860

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

501 6th Ave S
#7210
St Petersburg, FL 33701

325 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 528-5370

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1891835120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1508",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342841508",
            "telephone_number": "941-486-3483",
            "fax_number": "941-484-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 6TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014634",
            "telephone_number": "727-767-8480",
            "fax_number": "727-767-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME95653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277625100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE CROSS",
            "identifier": "01300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "GROSS",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.