Organization Active NPI

Marie Alixe Kima

  • Infectious Disease Physician
  • Gainesville, FL
National Provider Identifier
1114972361
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
MARIE ALIXE KIMA
Practice address
500 NW 43Rd Street Suite #1
Gainesville, FL 32607
Phone
(352) 378-9100
Fax
(352) 378-9005
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Marie Alixe Kima, MDNPI 1699733402
Title
MD
Phone
(352) 378-9100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X ME79445 FL
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X FL Primary

Addresses

Primary practice location

500 NW 43Rd Street Suite #1
Gainesville, FL 32607

Mailing address

500 NW 43Rd Street Suite #1
Gainesville, FL 32607
Phone (352) 378-9100

Other identifiers 3

IdentifierTypeStateIssuer
002138800MedicaidFL
DN7443OtherFLRAILROAD MEDICARE
000MDOtherFLFL BLUE SHIELD

Other names 1

  • Infection Prevention and Treatment Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060615000153 FL Part B Supplier - Clinic/Group Practice 0345252284 Receives reassigned benefits from 3 practitioners
Practice locations: Gainesville, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

500 NW 43rd St
Ste 1
Gainesville, FL 32607
Phone (352) 271-5373

6440 W Newberry Rd
Ste 505
Gainesville, FL 32605
Phone (352) 331-5828

720 SW 2nd Ave
Ste 501
Gainesville, FL 32601
Phone (352) 336-3992

Practitioners & affiliated clinicians

Practitioners 3

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": "1477526400000",
    "number": "1114972361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW 43RD STREET SUITE #1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-378-9100",
            "fax_number": "352-378-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 43RD STREET SUITE #1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-378-9100",
            "fax_number": "352-378-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE ALIXE KIMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "KIMA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ALIXE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-378-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME79445",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002138800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN7443",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE SHIELD",
            "identifier": "000MD",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infection Prevention and Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.