Individual provider Active NPI

Kimberly Baddoura, MD

  • Plastic and Reconstructive Surgery Physician
  • Coconut Grove, FL
National Provider Identifier
1083176978
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME178943 Issued in FL
Practice address
2734 SW 37TH Ave
Coconut Grove, FL 33133-2728
Phone
(305) 642-4263
NPI assigned
Apr 1, 2019
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME178943 FL Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME178943 FL

Addresses

Primary practice location

2734 SW 37TH Ave
Coconut Grove, FL 33133-2728

Mailing address

580 Crandon Blvd # 201
Key Biscayne, FL 33149-1832

Other practice location 1

6050 S Dixie Hwy
South Miami, FL 33143-5042
Phone (305) 642-4263

Other practice location 2

580 Crandon Blvd # 201
Key Biscayne, FL 33149-1832
Phone (305) 365-5595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME178943FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Breast Center LLC CurrentSince Aug 10, 2026 Accepting new patients
Miami Plastic Surgery Center LLC Plastic and Reconstructive Surgery Past Accepting new patients

Locations

580 Crandon Blvd
Fl 1
Key Biscayne, FL 33149
Phone (305) 365-5595

Interoperability endpoints

  • Direct secure messaging: kkhourimd408470@direct.atrius.masshiway.net

Organizations & group practices 2

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1083176978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 CRANDON BLVD # 201",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 SW 37TH AVE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332728",
            "telephone_number": "305-642-4263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435042",
            "country_code": "US",
            "telephone_number": "305-642-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 Crandon Blvd # 201",
            "address_purpose": "LOCATION",
            "city": "Key Biscayne",
            "state": "FL",
            "postal_code": "331491832",
            "country_code": "US",
            "telephone_number": "305-365-5595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADDOURA",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME178943",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME178943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

Verify at the official NPI Registry.