Individual provider Active NPI

Shirish Kamalakar Kirtane, MD

  • Pulmonary Disease Physician
  • Altamonte Springs, FL
National Provider Identifier
1982693115
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME38048 Issued in FL
Practice address
210 N. Westmonte Dr
Suite #1000
Altamonte Springs, FL 32714
Phone
(407) 788-7844
Fax
(407) 682-6071
NPI assigned
Oct 20, 2005
Last updated
Jan 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0038048 FL
Pulmonary Disease Physician 207RP1001X ME38048 FL Primary

Addresses

Primary practice location

210 N. Westmonte Dr
Suite #1000
Altamonte Springs, FL 32714

Mailing address

210 N Westmonte Dr
Ste 1000
Altamonte Springs, FL 32714-3356
Phone (407) 788-7844

Other identifiers 1

IdentifierTypeStateIssuer
065694100MedicaidFL

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
I20120509000328 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7618139684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

210 N Westmonte Dr
Suite 1000
Altamonte Springs, FL 32714-3356
Phone (407) 788-7844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Imaging at Lake Mary, LLC CurrentSince Nov 24, 2021 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC CurrentSince Nov 24, 2021 Accepting new patients

Locations

2488 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744
Phone (407) 200-5440

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 2

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1982693115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N WESTMONTE DR",
            "address_2": "STE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143356",
            "telephone_number": "407-788-7844",
            "fax_number": "407-682-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N. WESTMONTE DR",
            "address_2": "SUITE #1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-788-7844",
            "fax_number": "407-682-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRTANE",
        "first_name": "SHIRISH",
        "middle_name": "KAMALAKAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0038048",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME38048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065694100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.