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KAVAN RYLEY THOMPSON DO
NPI 1255027165
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since April 13, 2023PECOS Enrolled
52 W UNDERWOOD ST # MP41, ORLANDO, FL 32806(321) 841-5145 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kavan Ryley Thompson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAVAN RYLEY THOMPSON DO (NPI 1255027165) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255027165
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKAVAN RYLEY THOMPSONCredential: DO
Location Address52 W UNDERWOOD ST # MP41Orlando, FL 32806-1110
Mailing Address1335 Sligh Blvd, 5th Floor, Mp41Orlando, FL 32806 · (321) 841-5145
Phone(321) 841-5145
Sole ProprietorYes
Enumeration DateApril 13, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1255027165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
52 W UNDERWOOD ST # MP41, Orlando, FL 32806
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kavan Ryley Thompson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIDA ALTAF DO
Student in an Organized Health Care Education/Training Program
52 W UNDERWOOD ST # MP41
ORLANDO, FL 32806
Orange County (321) 841-5145
KARISHMA SHARMA DO
Internal Medicine
52 W UNDERWOOD ST # MP41
ORLANDO, FL 32806
Orange County (321) 841-5145
JESSICA MICHELE CRAWFORD DO
Student in an Organized Health Care Education/Training Program
52 W UNDERWOOD ST # MP41
ORLANDO, FL 32806
Orange County (321) 841-5145
KIERA BRIGH TURNER MD
Student in an Organized Health Care Education/Training Program
52 W UNDERWOOD ST # MP41
ORLANDO, FL 32806
Orange County (321) 841-5145
MUSTAFA NUAIMI MD
Student in an Organized Health Care Education/Training Program
52 W UNDERWOOD ST # MP41
ORLANDO, FL 32806
Orange County (321) 841-5145
ALEXANDER ENRIQUE PENA MD
Internal Medicine
52 W UNDERWOOD ST # MP41
ORLANDO, FL 32806
Orange County (321) 841-5145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kavan Thompson's NPI number?

The NPI number for Kavan Thompson is 1255027165. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Kavan Thompson located?

Kavan Thompson practices at 52 W Underwood St # Mp41, Orlando, FL 32806. The listed phone number is (321) 841-5145.

What is Kavan Thompson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kavan Thompson enrolled in Medicare?

Yes. Kavan Thompson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kavan Thompson was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.