Active NPI
Kevin M Kuppler, M.D.
- Diagnostic Radiology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME120502
- 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
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 | |||
| 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
Enrollment records 1
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
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
- Mease Countryside Hospital
- Mease Dunedin Hospital
- Morton Plant North Bay Hospital
- Adventhealth North Pinellas
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME120502 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Morton Plant Mease Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| St Joseph'S Diagnostic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| St Josephs Diagnostic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Clearwater | Diagnostic Radiology | Current | Accepting new patients |
| Morton Plant Mease Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| St. Joseph'S Diagnostic Center, LLC. | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Largo, FL
- NPI 1528049962
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1982694899
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1558342998
-
- Diagnostic Radiology Physician
- Valrico, FL
- NPI 1417423377
-
- Diagnostic Radiology Physician
- Land O Lakes, FL
- NPI 1164006359
-
- Diagnostic Radiology Physician
- Plant City, FL
- NPI 1376238642
-
- Diagnostic Radiology Physician
- Safety Harbor, FL
- NPI 1316576705
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1821527474
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1780015297
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1376592402
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- New Port Richey, FL
- NPI 1437135811
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
-
- General Acute Care Hospital
- Dunedin, FL
- NPI 1336125640
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.