Active NPI
Adam Knecht, MD
- Pediatrics Physician
- Merritt Island, FL
National Provider Identifier
1922459130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME140569
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102986800 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160816002677 | FL | Order and Referring Only - Pediatric Medicine | 6901191808 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140569 | FL | MD | Pediatrics Physician |
| TRN23577 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Past | Accepting new patients | |
| Atlantic Coast Pediatrics, M.D. P.a. | Pediatrics | Past | 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.
-
- Pediatrics Physician
- Merritt Island, FL
- NPI 1609825694
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.