Organization Active NPI

M. Elena Kendall MD PA

  • Dermatology Physician
  • Coral Gables, FL
National Provider Identifier
1104871193
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
M. ELENA KENDALL MD PA
Practice address
356 Alhambra Circle
Coral Gables, FL 33134
Phone
(305) 446-2121
Fax
(305) 856-4363
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Maria Elena Kendall, MD PANPI 1366420978
Title
MD
Phone
(305) 446-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

356 Alhambra Circle
Coral Gables, FL 33134

Mailing address

356 Alhambra Circle
Coral Gables, FL 33134
Phone (305) 446-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090708000243 FL Part B Supplier - Clinic/Group Practice 9032008461 Receives reassigned benefits from 2 practitioners
Practice locations: Punta Gorda, FL; Palmetto Bay, FL; Coral Gables, FL; Key Largo, FL; Bonita Springs, FL

National Provider Directory

National Provider Directory

Locations

3431 Bonita Beach Rd
Ste 208
Bonita Springs, FL 34134
Phone (239) 348-3990

318 Alhambra Cir
Coral Gables, FL 33134
Phone (305) 446-2121

103400 Overseas Hwy
Ste 241
Key Largo, FL 33037
Phone (305) 393-3977

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1104871193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 ALHAMBRA CIRCLE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-446-2121",
            "fax_number": "305-856-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 ALHAMBRA CIRCLE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-446-2121",
            "fax_number": "305-856-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ELENA KENDALL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-446-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.