Arleta A Kitlas, MD
Individual provider Active NPI Nephrology Physician · Bradenton, FL
NPI 1891985396 · NPPES record last updated Feb 9, 2015
Key facts
- NPI
- 1891985396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- ME 106492 (FL)
- Practice address
- 3915 8TH Ave W
Bradenton, FL 34205-1701 - Phone
- (941) 792-8600
- Fax
- (941) 748-4363
- NPI assigned
- Jul 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3915 8TH Ave W
Bradenton, FL 34205-1701
Phone (941) 792-8600
Hospital & facility affiliations
- HCA Florida Healthcare at Home
- Florida Home Health
- Trilogy Home Healthcare
- Residential Home Health of WC FL
- Southwest Florida Home Care Inc
- Sarasota Memorial Hospital
- HCA Florida Blake Hospital
- Lakewood Ranch Medical Center
- Manatee Memorial Hospital
- Inn at Freedom Village, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110708000482 | FL | Practitioner - Internal Medicine | 7618093014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 106492 | FL | MD | Nephrology Physician |
| MD.202331 | LA | MD | Hospitalist Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD.202331 | LA | |
| Hospitalist Physician | 208M00000X | MD.202331 | LA | |
| Nephrology Physician | 207RN0300X | ME 106492 | FL | Yes |
Addresses
Primary practice location
3915 8TH Ave W
Bradenton, FL 34205-1701
Mailing address
3915 8TH Ave W
Bradenton, FL 34205-1701
Phone (941) 792-8600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1090999 | Medicaid | LA | |
| 06322340 | Medicaid | MS |
NPI Registry JSON
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1891985396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 8TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342051701",
"telephone_number": "941-792-8600",
"fax_number": "941-748-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 8TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342051701",
"telephone_number": "941-792-8600",
"fax_number": "941-748-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITLAS",
"first_name": "ARLETA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "MD.202331",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "MD.202331",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME 106492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1090999",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06322340",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
- Margaret Ann Kirkland
- Nirmala Kishun-Jit
- Kristi Cay Kita
- Jonni E Kitchell
- Alissa Lauren Kitchen
- KK Health LLC
- Kendal Klein
- Klement Jungman & Varga DDS PA
- Robert J Klement
- Melissa Anne Klemkosky
All providers in Bradenton, FL · Nephrology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.