Individual provider Active NPI

Kevin M Kuppler, M.D.

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1962763250
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME120502 Issued in FL
Practice address
Medical Center Blvd
Winston Salem, NC 27157
Phone
(336) 716-2011
NPI assigned
Jun 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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
Diagnostic Radiology Physician 2085R0202X ME120502 FL Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157

Mailing address

734 Rivertree LN
Winston Salem, NC 27103-6965

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
I20180705002051 FL Practitioner - Diagnostic Radiology 7416203427 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians
Radiology Associates of ClearwaterGroup PAC ID 5496732067, 54 clinicians
St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians

Practice addresses (Care Compare)

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409
Phone (727) 372-4000

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

3003 W Dr MLK Blvd
Tampa, FL 33607-6307
Phone (813) 870-4826

3890 Tampa Rd
Palm Harbor, FL 34684-3676
Phone (813) 781-3164

400 Pinellas St
Suite 101
Clearwater, FL 33756-3312
Phone (727) 462-7514

8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 391-4758

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120502FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 13, 2026 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Aug 13, 2018 Accepting new patients
St Joseph'S Diagnostic Center LLC Diagnostic Radiology CurrentSince Aug 13, 2018 Accepting new patients
St Josephs Diagnostic Center LLC Diagnostic Radiology Current Accepting new patients
Radiology Associates of Clearwater Diagnostic Radiology CurrentSince May 1, 2018 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Aug 13, 2018 Accepting new patients
St. Joseph'S Diagnostic Center, LLC. Diagnostic Radiology CurrentSince Aug 13, 2018 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 13, 2026 Accepting new patients
Premier Radiology, LLP Diagnostic Radiology Past Accepting new patients

Locations

1106 Druid Rd S
Ste 302
Clearwater, FL 33756

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

323 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7045

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1962763250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 RIVERTREE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27157",
            "telephone_number": "336-716-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPLER",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-03",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME120502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.