Patrick Desmond Kavanagh, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME96603 Issued in FL

Practice address

1430 S Dixie Hwy Ste 304
Coral Gables, FL 33146-3159

Phone

(888) 696-4322

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 26

Medicare fee-for-service enrollment

Enrolled in FL, NJ, TX, WA, PA, CO, OH, MO, KS9 enrollments

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 9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Davie, FL
  • NPI 1942812763

  Internal Medicine

  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Dresher, PA
  • NPI 1225619638
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Columbus, OH
  • NPI 1295316602
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1477155331
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Bellevue, WA
  • NPI 1689249096
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Littleton, CO
  • NPI 1730781691
  Medicare reassignment NPD
• Carbon Health Medical Group of Kansas PA

  • Urgent Care Clinic/Center
  • Kansas City, MO
  • NPI 1497357396

  KS

  Medicare reassignment NPD
• Central Jersey Urgent Care

  • Urgent Care Clinic/Center
  • Ocean, NJ
  • NPI 1316285091
  Medicare reassignment NPD
• My Home Doctor of New Jersey, LLC

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1396621983
  NPD Authorized official
• My Home Doctor, LLC

  • Attendant Care Provider
  • Coral Gables, FL
  • NPI 1902099104

  Internal Medicine

  NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD
• Central Jersey Urgent Care

  • Urgent Care Clinic/Center
  • Skillman, NJ
  • NPI 1407421985
  NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1104970417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BO BAJURAS",
            "address_2": "VILLA MONTANA UNIT B3",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "305-354-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S DIXIE HWY STE 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463159",
            "telephone_number": "888-696-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "PATRICK",
        "middle_name": "DESMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101264898",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09668800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII STATE LICENSE",
            "identifier": "MD-20583",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE LICENSE",
            "identifier": "MD462196",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE",
            "identifier": "078512",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE LICENSE",
            "identifier": "2019-01534",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE LICENSE",
            "identifier": "76171",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "0101264898",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA STATE LICENSE",
            "identifier": "31765",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA LICENSE",
            "identifier": "51762",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT STATE LICENSE",
            "identifier": "61402",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "036145182",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAT STATE LICENSE",
            "identifier": "10800188",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE",
            "identifier": "57668",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSON STATE LICENSE",
            "identifier": "7206220",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING STATE LICENSE",
            "identifier": "TL6006",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD.43069",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE LICENSE",
            "identifier": "308192",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE LICENSE",
            "identifier": "04-41271",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE LICENSE",
            "identifier": "4301115326",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "MD60947259",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO STATE LICENSE",
            "identifier": "022203",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE LICENSE",
            "identifier": "2019032474",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE LICENSE",
            "identifier": "25MA09668800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE LICENSE",
            "identifier": "35.136642",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "C154678",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE",
            "identifier": "DR.0060459",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "R9508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giovannhi Kassar, BEHAVIOR TECHNICIAN
• Kimberlee Nicole Kasten, M.S.
• Kathryn Eisermann Rogers MD PA
• Jordan Allen Katz, DPM
• Joely Kaufman-Janette, MD
• Alexa Kawalek
• Lisa Marie Kearns, MS PT
• Ari Kedem
• Louis Richard Keilson, MD
• Marien Rodriguez Kelly, DPM

• Internal Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.

Verify at the official NPI Registry.