KYLE JAMES BORODUNOVICH
NPI 1396232229
Family Medicine in St Petersburg, FL

Q: What is Kyle Borodunovich's NPI number?

The NPI number for Kyle Borodunovich is 1396232229. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Q: What is Kyle Borodunovich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Borodunovich was last updated on September 13, 2022. 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.

Active since April 17, 2018PECOS EnrolledAccepts Medicare Assignment

2812 54TH AVE S, ST PETERSBURG, FL 33712(727) 867-8641(727) 867-6795 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2022, Aug 28, 2021, Jul 2, 2021 and 1 more (4 updates tracked since 2018).

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About Kyle James Borodunovich NPPES

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

KYLE JAMES BORODUNOVICH (NPI 1396232229) is an individual family medicine provider in St Petersburg, Florida, licensed in Florida (OS17309) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396232229

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKYLE JAMES BORODUNOVICH

Location Address2812 54TH AVE SSt Petersburg, FL 33712-4610

Mailing Address5130 Sunforest Dr Ste 300Tampa, FL 33634-6327 · (727) 824-0780

Phone(727) 867-8641

Fax(727) 867-6795

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 17, 2018

Last NPPES UpdateSeptember 13, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2022

✔ NPI 1396232229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS17309

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2812 54TH AVE S, St Petersburg, FL 33712

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Other Identifiers 1

OtherOS17309FL · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle James Borodunovich is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981934833

PECOS Enrollment IDI20210714000626

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. ROY WAYNE FINLEY MD

Family Medicine

2812 54TH AVE S
ST PETERSBURG, FL 33712

Pinellas County (727) 867-8641

DR. ASHLEYRAE DONALD D.O.

Internal Medicine

2812 54TH AVE S
ST PETERSBURG, FL 33712

Pinellas County (727) 867-8641

DR. KYLA HEUSNER M.D.

Family Medicine

2812 54TH AVE S
SAINT PETERSBURG, FL 33712

Pinellas County (727) 867-8641

BRYAN PATRICK FINK

Family Medicine

2812 54TH AVE S
ST PETERSBURG, FL 33712

Pinellas County (727) 867-8641

SANDEEP NARESH CHUGANI DO

Family Medicine

2812 54TH AVE S
ST PETERSBURG, FL 33712

Pinellas County (727) 867-8641

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 Kyle Borodunovich's NPI number?

The NPI number for Kyle Borodunovich is 1396232229. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Kyle Borodunovich located?

Kyle Borodunovich practices at 2812 54th Ave S, St Petersburg, FL 33712. The listed phone number is (727) 867-8641.

What is Kyle Borodunovich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kyle Borodunovich enrolled in Medicare?

Yes. Kyle Borodunovich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kyle Borodunovich was last updated on September 13, 2022. 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.