BIRENDRA KC MD
NPI 1922207547
Internal Medicine - Hematology & Oncology in St Augustine, FL

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
9 SAN BARTOLA DR, ST AUGUSTINE, FL 32086(904) 825-4500(904) 825-3672 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2019, Oct 18, 2019, Oct 4, 2019 and 23 more (26 updates tracked since 2016).

About Birendra Kc Md NPPES

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

BIRENDRA KC MD (NPI 1922207547) is an individual hematology & oncology provider in St Augustine, Florida, licensed in Florida (ME140216) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1922207547
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameBIRENDRA KCCredential: MD
Location Address9 SAN BARTOLA DRSt Augustine, FL 32086-5767
Mailing Address7015 A C Skinner Pkwy Ste 1Jacksonville, FL 32256-6932 · (904) 363-2113 · Fax (904) 363-2606
Fax(904) 825-3672
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 13, 2007
Last NPPES UpdateOctober 29, 201926 updates tracked since enumeration
NPI 1922207547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in FL · ME140216
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2016-00813 (NC)
9 SAN BARTOLA DR, St Augustine, FL 32086

Secondary Practice Location 1

Location 11550 Faulk StMonroe, NC 28112-5086 · Phone (980) 442-0430

Other Identifiers 3

OtherLH202FL · Medicare
Medicaid102868600FL
OtherIVC4KFL · Fl Blue

Accepted Insurance

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

Birendra Kc Md 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 ID1355472853
PECOS Enrollment IDI20190627003045
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 31

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
27,750 services25 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
9,450 services19 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,501 services26 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,334 services63 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,220 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,421 services446 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%251 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%330 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Hematology & Oncology)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
Internal Medicine (Hematology & Oncology)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
Social Worker (Clinical)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
Internal Medicine (Hematology & Oncology)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
Internal Medicine (Hematology & Oncology)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
Social Worker (Clinical)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086

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 Birendra Kc's NPI number?

The NPI number for Birendra Kc is 1922207547. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Birendra Kc located?

Birendra Kc practices at 9 San Bartola Dr, St Augustine, FL 32086. The listed phone number is (904) 825-4500.

What is Birendra Kc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Birendra Kc enrolled in Medicare?

Yes. Birendra Kc 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.

What insurance does Birendra Kc accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and Oscar Health Maintenance Organization of Florida and 1 other insurer list Birendra Kc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Birendra Kc affiliated with any hospitals?

According to CMS data, Birendra Kc is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Birendra Kc was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.