Individual provider Active NPI

Charles Michael Kayat, PA-C

  • Physician Assistant
  • Venice, FL
National Provider Identifier
1942556121
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106689 Issued in FL
Practice address
300 Tamiami TRL S Unit 1
Venice, FL 34285-2422
Phone
(941) 303-5713
NPI assigned
Jul 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106689 FL Primary

Addresses

Primary practice location

300 Tamiami TRL S Unit 1
Venice, FL 34285-2422

Mailing address

109 Venice Palms Blvd
Venice, FL 34292-2446
Phone (813) 777-7983

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000745 FL Practitioner - Physician Assistant 3072760644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, shared by 34 NPIs, 91 clinicians
Guardian Health LLCGroup PAC ID 1658763909, 5 clinicians

Practice addresses (Care Compare)

1107 W Poplar Ave
Porterville, CA 93257-5839
Phone (559) 781-7242

300 Tamiami TRL S
Unit 1
Venice, FL 34285-2422
Phone (941) 303-5713

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371
  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Haven Home Health Care Home health agency, Venice, FL, CCN 687116
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: charles.kayat.1@24269.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1942556121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 VENICE PALMS BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922446",
            "telephone_number": "813-777-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAMIAMI TRL S UNIT 1",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852422",
            "telephone_number": "941-303-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYAT",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.