NPIMap

Individual provider Active NPI

Karyn M Governale, M.D.

  • Family Medicine Physician
  • Gainesville FL, FL
National Provider Identifier
1902927155
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.098518 Issued in OH
Practice address
1600 SW Archer Rd
Department of Family Practice
Gainesville FL, FL 32610-0237
Phone
(352) 265-9478
NPI assigned
Apr 3, 2007
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 231366 MA
Family Medicine Physician 207Q00000X 35.098518 OH Primary

Addresses

Primary practice location

1600 SW Archer Rd
Department of Family Practice
Gainesville FL, FL 32610-0237

Mailing address

920 N Hamilton Rd
Suite 300
Gahanna, OH 43230-1757
Phone (614) 293-2614

Other practice location 1

920 N Hamilton Rd
Suite 300
Gahanna, OH 43230-1757
Phone (614) 293-2614

Other names 1

  • Karyn M Entrop Governale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806002205 FL Practitioner - Family Practice 9739280595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 SW 62ND Blvd D
Uf Health Family Medicine Hampton Oaks
Gainesville, FL 32607-6030
Phone (352) 265-9475

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.098518OHMDFamily Medicine Physician
231366MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Aug 15, 2018 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 15, 2018 Accepting new patients
Hallmark Health Medical Associates Inc Family Medicine Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
#100371
Gainesville, FL 32610
Phone (352) 265-8335

200 SW 62nd Blvd
Ste D
Gainesville, FL 32607
Phone (352) 265-9475

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

4197 NW 86th Ter
Fl 2
Gainesville, FL 32606
Phone (352) 265-0615

Interoperability endpoints

  • Direct secure messaging: kgovernale334974@direct.shands.ufl.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1902927155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N HAMILTON RD",
            "address_2": "SUITE 300",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301757",
            "telephone_number": "614-293-2614",
            "fax_number": "614-293-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "DEPARTMENT OF FAMILY PRACTICE",
            "city": "GAINESVILLE FL",
            "state": "FL",
            "postal_code": "326100237",
            "telephone_number": "352-265-9478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 N Hamilton Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301757",
            "country_code": "US",
            "telephone_number": "614-293-2614",
            "fax_number": "614-293-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOVERNALE",
        "first_name": "KARYN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "231366",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.098518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARYN",
            "last_name": "ENTROP GOVERNALE",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.