DR. KEVIN LOUIS PETERMANN (M.D.) – Internal Medicine Physician, NPI 1588744650

DR. KEVIN LOUIS PETERMANN (M.D.) is a healthcare provider. based in Tampa, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036141794 (IL). The NPI Number for DR. KEVIN LOUIS PETERMANN (M.D.) is 1588744650

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN LOUIS PETERMANN (M.D.)
NPI
1588744650
Phone
(813) 961-1331
Address
3810 NORTHDALE BLVD STE 150
Enumeration Date
16 October 2006
Last Update Date
15 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009916117
Graduation Year
2001 (25 years ago)
PAC ID
8527389626
Group Practice PAC ID
4486986122
Professional Enrollment ID
I20190620001830
Address ID
IL606422613CH1460XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. KEVIN LOUIS PETERMANN (M.D.)

  • 3810 NORTHDALE BLVD STE 150

    TAMPA, FL 336241871

    Phone: (813) 961-1331

    Fax: (888) 850-8316

    Type: Mailing

  • 1460 N Halsted St Ste 503

    Chicago, IL 606422613

    Phone: (800) 991-6117

    Fax: (888) 812-8191

    Type: Location

  • 3820 NORTHDALE BLVD STE 201

    TAMPA, FL 336241893

    Phone: (813) 961-1331

    Fax: (888) 850-8316

    Type: Mailing

  • West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 604532572

    Phone: (800) 991-6117

    Fax: (888) 812-8191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $331.

Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Tactile Systems Technology Inc ($331).

Total Amount

$331

General + Research + Ownership

Payments

19

Total payment records

General Amount

$331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

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: 2024-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190620001830IInternal MedicineILTBD
I20240220003563IInternal MedicineNYTBD
I20240909000168IInternal MedicineNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes25688$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers21872$0
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance18859$0
93970Ultrasound study of arm or leg veins with compression and maneuvers164111$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance9549$0
View full utilization report →

Insurance plans in this area (ZIP 33624)

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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: 4486986122View full group profile
NameSpecialtyState
General SurgeryFL
General SurgeryIN
Family Practice, Internal Medicine, Peripheral Vascular DiseaseFL
Interventional Radiology, Diagnostic RadiologyFL
General SurgeryIL
General SurgeryFL
Internal MedicineIL
Thoracic Surgery, General SurgeryCA
General PracticeIL

Reviews

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Frequently asked questions

How is DR. KEVIN LOUIS PETERMANN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KEVIN LOUIS PETERMANN (M.D.) with NPI 1588744650.
Does CMS list DR. KEVIN LOUIS PETERMANN (M.D.) as active?
Yes — DR. KEVIN LOUIS PETERMANN (M.D.) is active in the NPI listing used on this page.
What is DR. KEVIN LOUIS PETERMANN (M.D.)'s specialty?
The listing groups DR. KEVIN LOUIS PETERMANN (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KEVIN LOUIS PETERMANN (M.D.) based?
DR. KEVIN LOUIS PETERMANN (M.D.) is tied to Tampa, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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