Individual provider Active NPI

Adam Knecht, MD

  • Pediatrics Physician
  • Merritt Island, FL
National Provider Identifier
1922459130
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME140569 Issued in FL
Practice address
270 N Sykes Creek Pkwy
Merritt Island, FL 32953-3492
Phone
(321) 452-1061
NPI assigned
Jun 29, 2016
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN23577 FL
Pediatrics Physician 208000000X ME140569 FL Primary

Addresses

Primary practice location

270 N Sykes Creek Pkwy
Merritt Island, FL 32953-3492

Mailing address

PO Box 541216
Merritt Island, FL 32954-1216
Phone (321) 453-0866

Other practice location 1

86 W Underwood St
Orlando, FL 32806-1110
Phone (407) 649-6876

Other identifiers 1

IdentifierTypeStateIssuer
102986800MedicaidFL

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
I20160816002677 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6901191808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140569FLMDPediatrics Physician
TRN23577FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Past Accepting new patients
Atlantic Coast Pediatrics, M.D. P.a. Pediatrics PastSince Aug 11, 2019 Accepting new patients
Orlando Health Medical Group Inc Pediatrics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1922459130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541216",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329541216",
            "telephone_number": "321-453-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N SYKES CREEK PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533492",
            "telephone_number": "321-452-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 W Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "407-649-6876",
            "fax_number": "407-872-0544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNECHT",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN23577",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME140569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102986800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.