Active NPI
Joel Andrew Kahn, M.D.
- Internal Medicine Physician
- Winter Park, FL
National Provider Identifier
1114959863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME140067
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME140067 | FL | MD | Internal Medicine Physician |
| 72912 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Health Medicine LLC | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Winter Park, FL
- NPI 1396325262
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.