Individual provider Active NPI

Jennifer Kinaga, MD

  • Cardiovascular Disease Physician
  • Lake Mary, FL
National Provider Identifier
1033504782
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME150132 Issued in FL
Practice address
795 Primera Blvd Ste 1031
Lake Mary, FL 32746-2191
Phone
(407) 738-4200
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X ME150132 FL Primary

Addresses

Primary practice location

795 Primera Blvd Ste 1031
Lake Mary, FL 32746-2191

Mailing address

1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916
Phone (407) 738-4200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210726000760 FL Practitioner - Cardiovascular Disease (Cardiology) 7618281569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
Cardiovascular Institute of Central Florida, LLC Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince May 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients

Locations

805 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (407) 652-6000

795 Primera Blvd
Ste 1021
Lake Mary, FL 32746

392 Rinehart Rd
Ste 2080
Lake Mary, FL 32746

795 Primera Blvd
Ste 1031
Lake Mary, FL 32746
Phone (407) 829-8981

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2859 Delaney Ave
Ste 100
Orlando, FL 32806

21 Columbia St
Ste 102
Orlando, FL 32806
Phone (407) 841-5145

7301 Stonerock Cir
Ste 1
Orlando, FL 32819
Phone (352) 512-9139

1723 Lucerne Ter
Ste 100
Orlando, FL 32806

7148 Curry Ford Rd
Ste 200
Orlando, FL 32822
Phone (407) 273-1357

1000 W Broadway St
Oviedo, FL 32765
Phone (407) 359-6000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jennifer.kinaga.1@29679.direct.athenahealth.com
  • Direct secure messaging: jkinaga20547@orlandohealth.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1033504782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 LUCERNE TER STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062916",
            "telephone_number": "407-738-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 PRIMERA BLVD STE 1031",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462191",
            "telephone_number": "407-738-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINAGA",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME150132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.