Kingsley Ndubisi Anurugwo, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

ME52106 Issued in FL

Practice address

851 Avenue P
Riviera Beach, FL 33404-7258

Phone

(561) 803-7300

Fax

(561) 840-0168

NPI assigned

Jun 27, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Preventive Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kingsley.anurugwo.1@22365.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Department of Health

  • Public Health or Welfare Agency
  • West Palm Beach, FL
  • NPI 1134189103
  Medicare reassignment Care Compare group NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD
• Wellsprings Health Care Partners, Inc.

  • Clinic/Center
  • High Springs, FL
  • NPI 1598309718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1033473707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLEMATIS ST STE 5-531",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015107",
            "telephone_number": "561-671-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 AVENUE P",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334047258",
            "telephone_number": "561-803-7300",
            "fax_number": "561-840-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANURUGWO",
        "first_name": "KINGSLEY",
        "middle_name": "NDUBISI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME52106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Andersson
• Ketlie Andre, PHARMD
• Yasmin Vernissa Anthony-Harris
• Yoly Elizabeth Antoine
• Ezinne Anumudu, PHARM.D.
• Roxana Aponte
• Tamara Argov
• Christina Maria Armenteros, PSYD
• Rabindranauth Armogan
• Kristi B Arnett, RD, LD/N

• Public Health & General Preventive Medicine Physician in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.