Active NPI
Hind Kettani, M.D.
- Neurology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME137027
- Practice address
- 3000 Medical Park Dr Ste 510
Tampa, FL 33613-6602 - Phone
- (813) 615-7725
- Fax
- (813) 615-7082
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | ME137027 | FL | |
| Neurology Physician | 2084N0400X | ME137027 | FL | Primary |
Addresses
Primary practice location
3000 Medical Park Dr Ste 510
Tampa, FL 33613-6602
Mailing address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME137027 | Other | FL | ME LICENSE |
| 101429400 | Medicaid | FL |
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
- Neurology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436
2700 Healing Way
Wesley Chapel, FL 33543-5453
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Hospital & facility affiliations
- Adventhealth Tampa
- Adventhealth Ocala
- Adventhealth Wesley Chapel
- AdventHealth Carrollwood
- Adventhealth Riverview
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME137027 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Neurology | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Past | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Past | Accepting new patients | |
| Advanced Medical Group PC | Past | Accepting new patients |
Locations
3000 Medical Park Dr
Ste 510
Tampa, FL 33613
Phone (813) 615-7725
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108
12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
-
- Pulmonary Disease Physician
- Brooklyn, NY
- NPI 1710939798
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverview, FL
- NPI 1699345314
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1427068345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1982832952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "813-779-6303",
"fax_number": "786-868-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR STE 510",
"city": "TAMPA",
"state": "FL",
"postal_code": "336136602",
"telephone_number": "813-615-7725",
"fax_number": "813-615-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETTANI",
"first_name": "HIND",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "FL",
"license": "ME137027",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME137027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ME LICENSE",
"identifier": "ME137027",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101429400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.