Active NPI
Kenneth Beigi
- Family Medicine Physician
- Ocoee, FL
National Provider Identifier
1053776070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S7607
- Practice address
- 8849 W Colonial Dr
Ocoee, FL 34761-6951 - Phone
- (407) 926-1258
- NPI assigned
- Dec 17, 2015
- Last updated
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S7607 | TX | Primary |
Addresses
Primary practice location
8849 W Colonial Dr
Ocoee, FL 34761-6951
Mailing address
8849 W Colonial Dr
Ocoee, FL 34761-6951
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S7607 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Family Medicine | Current | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
1908 Boothe Cir
Longwood, FL 32750
Phone (407) 331-7007
3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020
Interoperability endpoints
- kenneth.beigi@wwmp.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1053776070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8849 W COLONIAL DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347616951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8849 W COLONIAL DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347616951",
"telephone_number": "407-926-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEIGI",
"first_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-17",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S7607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.