Individual provider Active NPI

Joel Andrew Kahn, M.D.

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1114959863
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME140067 Issued in FL
Practice address
940 W Canton Ave Apt B338
Winter Park, FL 32789-7502
Phone
(617) 438-6063
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 72912 MA
Internal Medicine Physician 207R00000X ME140067 FL Primary

Addresses

Primary practice location

940 W Canton Ave Apt B338
Winter Park, FL 32789-7502

Mailing address

940 W Canton Ave Apt B338
Winter Park, FL 32789-7502
Phone (617) 438-6063

Other practice location 1

7 Bulfinch Pl Ste 301
Boston, MA 02114-2929
Phone (617) 397-2770

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME140067FLMDInternal Medicine Physician
72912MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Health Medicine LLC Internal Medicine CurrentSince Apr 20, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1114959863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W CANTON AVE APT B338",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897502",
            "telephone_number": "617-438-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W CANTON AVE APT B338",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897502",
            "telephone_number": "617-438-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Bulfinch Pl Ste 301",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142929",
            "country_code": "US",
            "telephone_number": "617-397-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHN",
        "first_name": "JOEL",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "72912",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME140067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.