Brendan Kavanaugh, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS 12909 Issued in FL

Practice address

3030 N Rocky Point Dr W
Suite 670
Tampa, FL 33607-5803

Phone

(813) 289-6597

Fax

(813) 289-6592

NPI assigned

Nov 19, 2014

Last updated

Apr 21, 2015By 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

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

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inpatient Specialists GroupGroup PAC ID 0345584835, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
• St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
• Bayfront Health St. Petersburg Inpatient rehabilitation facility, St. Petersburg, FL, CCN 10T032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkavanaugh188952@orlandohealth.medalliesdirect.net

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.

• Inpatient Specialists Group

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1073008579
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  Medicare reassignment NPD
• MG H2 LLC

  • Hospitalist Physician
  • Miami, FL
  • NPI 1710583976
  Medicare reassignment NPD
• Inpatient Consultants of Florida Inc

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1457511164

  Internal Medicine

  NPD
• Inpatient Consultants of Florida, Inc

  • Hospitalist Physician
  • Clearwater, FL
  • NPI 1811179831

  Internal Medicine

  NPD
• Inpatient Specialists Group

  dba Continuity Care Speciliasts

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1952108763
  NPD
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD
• Inpatient Consultants of Florida, Inc.

  dba Ipc of Florida

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1285037622

  Internal Medicine

  NPD (past)
• QMC LLC

  dba QMC Cares

  • Hospitalist Physician
  • Miami, FL
  • NPI 1003216391
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohi West, Inc

  dba Bayfront Health St Petersburg

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1154399749
  Care Compare affiliation
• Ohi West, Inc

  dba Bayfront Health St. Petersburg

  • Rehabilitation Hospital Unit
  • St Petersburg, FL
  • NPI 1912975228

  Inpatient rehabilitation facility

  Care Compare affiliation
• St. Anthonys Hospital, Inc.

  dba St. Anthonys Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1427024942
  Care Compare affiliation

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1992102958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N ROCKY POINT DR W",
            "address_2": "SUITE 670",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075803",
            "telephone_number": "813-289-6597",
            "fax_number": "813-289-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N ROCKY POINT DR W",
            "address_2": "SUITE 670",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075803",
            "telephone_number": "813-289-6597",
            "fax_number": "813-289-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "BRENDAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 12909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiranpreet Kaur, MD
• Rupinder Kaur, LMHC
• Supreet Kaur, MD
• Akhil Kaushik, MD
• John W Kauzlarich, D.O
• Reena Jiju Kavilaveettil, MD
• Edith Lorraine Kavouklis, RN, APRN
• Lazarus Nick Kavouklis, D.M.D.
• Nicholas Michael Kavouklis, DMD
• Nick L Kavouklis, D.D.S.

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.

Verify at the official NPI Registry.