Individual provider Active NPI

Karalynne Blochberger, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1992239909
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0147013 Issued in FL
Practice address
2014 S Orange Ave Ste 200B
Orlando, FL 32806-3097
Phone
(407) 447-2273
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0147013 FL Primary

Addresses

Primary practice location

2014 S Orange Ave Ste 200B
Orlando, FL 32806-3097

Mailing address

2488 E Irlo Bronson Memorial Hwy Ste 204
Kissimmee, FL 34744-4948
Phone (407) 861-3344

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
I20210107000482 FL Practitioner - Family Practice 5597038323 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0147013FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Health Care Group PLLC Single Specialty CurrentSince Jan 13, 2025 Accepting new patients

Locations

21754 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 867-0608

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992239909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E IRLO BRONSON MEMORIAL HWY STE 204",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444948",
            "telephone_number": "407-861-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S ORANGE AVE STE 200B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063097",
            "telephone_number": "407-447-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCHBERGER",
        "first_name": "KARALYNNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0147013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.