Koteswari Kancha (NPI# 1407937170, PAC ID# 7214980283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1407937170 |
PAC ID by PECOS | 7214980283 |
Professional Enrollment ID | I20080711000089 |
Full Name | Koteswari Kancha |
Address |
13241 Bartram Park Blvd Unit 409 Jacksonville FL 32258-5237 |
Gender | F |
Credential | MD |
Graduation Year | 1990 |
Primary Specialty | NEPHROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
100179 | MEMORIAL HOSPITAL JACKSONVILLE |
100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
Address | Phone | Organization |
---|---|---|
13241 Bartram Park Blvd, Unit 409, Jacksonville, FL 32258-5237 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 77% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
Street Address |
13241 BARTRAM PARK BLVD UNIT 409 |
City | JACKSONVILLE |
State | FL |
Zip | 32258-5237 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diane E. Sanjines | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 13241 Bartram Park Blvd, Unit 413, Jacksonville, FL 32258-5237 |
Gabriel Busquets | Chiropractic | 13241 Bartram Park Blvd, Unit 2501, Jacksonville, FL 32258-5218 | |
Christopher Adam Railing | Chiropractic | 13241 Bartram Park Blvd, Unit 509, Jacksonville, FL 32258-5213 | |
Annamarie Loyola | Nurse Practitioner | First Coast Medical Associates LLC | 13241 Bartram Park Blvd, Suite 413, Jacksonville, FL 32258-5237 |
Jane A Burns | Qualified Audiologist | Bartram Park Family Ent Pa | 13241 Bartram Park Blvd, Suite 801, Jacksonville, FL 32258-5216 |
Jennifer Davis | Psychiatry | Baptist Behavioral Health LLC | 13241 Bartram Park Blvd, Unit 1901, Jacksonville, FL 32258-5228 |
Mark A Matey | Podiatry | 13241 Bartram Park Blvd, Unit 1805, Jacksonville, FL 32258-5227 | |
Jose P Vindas Cordero | Infectious Disease | 13241 Bartram Park Blvd, Suite 1001, Jacksonville, FL 32258-5234 | |
Hazem M Samy | Ophthalmology | 13241 Bartram Park Blvd, Suite 1505, Jacksonville, FL 32258-5231 | |
Babu Veeren Chithriki | Obstetrics/gynecology | Womens Care Florida LLC | 13241 Bartram Park Blvd, Unit 1509, Jacksonville, FL 32258-5231 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily A Poland | Gastroenterology | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
Kevin M Comar | Gastroenterology | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
Jennifer L Madden | Hand Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
Richard A Picerno Ii | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
Gregory Solis | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
Phillip Michael Bell | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
Scott Cooper | Gastroenterology | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
Lauren Elizabeth Kessenich | Nurse Practitioner | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
Brandon J Kambach | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
Julia Holsomback | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 11481 Old Saint Augustine Rd, Suite 101, Jacksonville, FL 32258-1474 |
Find all physicians in zip 32258 |
City | JACKSONVILLE |
Zip Code | 32258 |
Specialty | NEPHROLOGY |
City + Specialty | JACKSONVILLE + NEPHROLOGY |
Please comment or provide details below to improve the information on Koteswari Kancha.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.