NPIMap

Organization Active NPI

Consultants in Infectious Diseases LLC

  • Infectious Disease Physician
  • Kenneth City, FL
National Provider Identifier
1992906655
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
CONSULTANTS IN INFECTIOUS DISEASES LLC
Practice address
5670 54TH Avenue North
Suite a-1
Kenneth City, FL 33709-2067
Phone
(727) 548-0260
Fax
(727) 548-0270
NPI assigned
May 30, 2007
Last updated
Feb 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Authorized official

Name
Christian Titus
Title
Assistant Practice Manager
Phone
(727) 491-5117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

5670 54TH Avenue North
Suite a-1
Kenneth City, FL 33709-2067

Mailing address

5670 54TH Avenue North
Suite a-1
Kenneth City, FL 33709-2067
Phone (727) 548-0260

Other names 1

  • Consultants In Infectious Diseases Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000064 FL Part B Supplier - Clinic/Group Practice 6800828526 Receives reassigned benefits from 10 practitioners
Practice locations: Kenneth City, FL; Safety Harbor, FL

National Provider Directory

National Provider Directory

Locations

5670 54th Ave N
Kenneth City, FL 33709
Phone (727) 319-0547

5670 54th Ave N
Ste 81
Kenneth City, FL 33709

5670 54th Ave N
Ste A-1
Kenneth City, FL 33709
Phone (727) 319-0547

1840 Mease Dr
Ste 401B
Safety Harbor, FL 34695
Phone (727) 328-4633

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18668/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCCCA

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613865600000",
    "number": "1992906655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 54TH AVENUE NORTH",
            "address_2": "SUITE A-1",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337092067",
            "telephone_number": "727-548-0260",
            "fax_number": "727-548-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 54TH AVENUE NORTH",
            "address_2": "SUITE A-1",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337092067",
            "telephone_number": "727-548-0260",
            "fax_number": "727-548-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN INFECTIOUS DISEASES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "ASSISTANT PRACTICE MANAGER",
        "authorized_official_telephone_number": "727-491-5117"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consultants In Infectious Diseases Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Consultants In Infectious Diseases Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kenneth City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.