Kunal Amin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME113101 Issued in FL

Practice address

1621 22ND Ave N
St Petersburg, FL 33713-5043

Phone

(727) 353-8600

Fax

(727) 205-2381

NPI assigned

Jun 18, 2009

Last updated

Jun 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 22, 2024 through May 22, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kunal.amin@573192013348868.direct.elationemr.com

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1972730836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 22ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135043",
            "telephone_number": "727-353-8600",
            "fax_number": "727-205-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 22ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135043",
            "telephone_number": "727-353-8600",
            "fax_number": "727-205-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "KUNAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amicitia Pharma LLC (1st Choice Pharmacy)
• Kristin Amicone
• Amigo Art Therapy, PLLC
• Chirag Amin, RPH
• Dipti Amin, M.D.
• Hamza Amini
• Amitabh Gupta MD PA (Coastal Orthopedic Medicine, Pain Management & Rehab)
• Amley & Amley Orthodontics, P.a.
• Edward A Amley, D.D.S.
• Robert B Amley, DDS

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.