Individual provider Active NPI

Jesse J Klein, DO

  • Interventional Cardiology Physician
  • Largo, FL
National Provider Identifier
1982815288
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS 10628 Issued in FL
Practice address
1345 W Bay Dr
Suite 101
Largo, FL 33770-2282
Phone
(727) 581-3550
Fax
(727) 586-6190
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS10628 FL
Interventional Cardiology Physician 207RI0011X OS 10628 FL Primary

Addresses

Primary practice location

1345 W Bay Dr
Suite 101
Largo, FL 33770-2282

Mailing address

1345 W Bay Dr
Suite 101
Largo, FL 33770-2282
Phone (727) 581-3550

Other identifiers 1

IdentifierTypeStateIssuer
001094700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JESSE.KLEIN@hca4.eclinicaldirectplus.com

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
I20090815000016 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1759467566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

6006 49TH St N
Suite 200
Saint Petersburg, FL 33709-2149
Phone (727) 490-2100

Hospital & facility affiliations

  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting60
Leg revascularization (restoring blood flow)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 10628FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiology Network, LLC Cardiovascular Disease CurrentSince May 1, 2014 Accepting new patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease Past Accepting new patients
Coastal Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients
Cardiology Consultants PastSince May 1, 2014 Accepting new patients

Locations

1345 West Bay Dr
Ste 101
Largo, FL 33770
Phone (727) 581-3550

1551 West Bay Dr
Ste 300
Largo, FL 33770
Phone (727) 531-3550

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: jesse.klein@hca4.eclinicaldirectplus.com

Organizations & group practices 4

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 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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1982815288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W BAY DR",
            "address_2": "SUITE 101",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702282",
            "telephone_number": "727-581-3550",
            "fax_number": "727-586-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W BAY DR",
            "address_2": "SUITE 101",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702282",
            "telephone_number": "727-581-3550",
            "fax_number": "727-586-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JESSE",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS10628",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS 10628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001094700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JESSE.KLEIN@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1345 W Bay Dr",
            "address_2": "SUITE 101",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337702282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.