Kimberly Baddoura, MD
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Coconut Grove, FL
NPI 1083176978 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1083176978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- ME178943 (FL)
- Practice address
- 2734 SW 37TH Ave
Coconut Grove, FL 33133-2728 - Phone
- (305) 642-4263
- NPI assigned
- Apr 1, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2800082 | MA | MD | Plastic and Reconstructive Surgery Physician |
Interoperability endpoints
- kkhourimd408470@direct.atrius.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME178943 | FL | Yes |
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
580 Crandon Blvd # 201
Key Biscayne, FL 33149-1832
Phone (305) 365-5595
Other practice location 2
6050 S Dixie Hwy
South Miami, FL 33143-5042
Phone (305) 642-4263
Other providers in Coconut Grove, FL
- Astrid Alves Daporta
- Giovanna Machado Alves
- Isabel Amicy
- Asi Cardiology, Inc
- Atma Prema Health, LLC
- Gabriela Baralt
- Leslie S. Bass
- Amelia Behney
- Daniella Patricia Bendixen
- Melissa K Berry
All providers in Coconut Grove, FL · Plastic and Reconstructive Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.