DR. KADIR JUSTIN CARRUTHERS (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1093135220

DR. KADIR JUSTIN CARRUTHERS (M.D.) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 136718 (FL). The NPI Number for DR. KADIR JUSTIN CARRUTHERS (M.D.) is 1093135220

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. KADIR JUSTIN CARRUTHERS (M.D.)
NPI
1093135220
Phone
(813) 228-7696
Address
2914 N BOULEVARD
Enumeration Date
28 April 2014
Last Update Date
7 November 2018

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
8132287696
Graduation Year
2014 (12 years ago)
PAC ID
4789968520
Group Practice PAC ID
1153364955
Professional Enrollment ID
I20180815001894
Address ID
FL336023910TA625XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

833 PHYSICAL MEDICINE AND REHABILITATION in FL

Provider Addresses for DR. KADIR JUSTIN CARRUTHERS (M.D.)

  • 2914 N BOULEVARD

    TAMPA, FL 33602

    Phone: (813) 228-7696

    Fax: (813) 228-0677

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $592.

Total Amount is formed as General ($592) + Research ($0) + Ownership ($0) = $592.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Novo Nordisk Inc ($238).

Total Amount

$592

General + Research + Ownership

Payments

8

Total payment records

General Amount

$592

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180815001894IPhysical Medicine And RehabilitationFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2,652566$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes776388$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes361323$0
99238Hospital discharge day management, 30 minutes or less184170$0
99239Hospital discharge day management, more than 30 minutes111103$0
View full utilization report →

Insurance plans in this area (ZIP 33602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153364955View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationFL
Physical Medicine And RehabilitationFL
Nurse PractitionerFL
Physical Medicine And RehabilitationNY
Physical Medicine And RehabilitationFL
Physical Medicine And RehabilitationFL
Physical Medicine And RehabilitationFL
Physical Medicine And RehabilitationFL
Nurse PractitionerFL
Physical Medicine And RehabilitationTX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KADIR JUSTIN CARRUTHERS (M.D.)'s NPI?
Yes. DR. KADIR JUSTIN CARRUTHERS (M.D.) is listed with NPI 1093135220 in the public NPI dataset.
Does CMS list DR. KADIR JUSTIN CARRUTHERS (M.D.) as active?
Yes — DR. KADIR JUSTIN CARRUTHERS (M.D.) is active in the NPI listing used on this page.
What is DR. KADIR JUSTIN CARRUTHERS (M.D.) best known for clinically?
Directory data describes DR. KADIR JUSTIN CARRUTHERS (M.D.) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Does DR. KADIR JUSTIN CARRUTHERS (M.D.) list a practice location?
Patients near Tampa, Florida may find DR. KADIR JUSTIN CARRUTHERS (M.D.) in results; validate coverage separately.
Is the information about DR. KADIR JUSTIN CARRUTHERS (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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