Jordan Gregory Kuppinger, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME91965 Issued in FL

Practice address

6280 W Sample Rd Ste 203
Coral Springs, FL 33067

Phone

(954) 481-9942

Fax

(954) 481-9917

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Miami Anesthesia Services LLC

  • Anesthesiology Physician
  • Aventura, FL
  • NPI 1821475179

  Anesthesiology, FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1124060496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 W SAMPLE RD STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673173",
            "telephone_number": "954-481-9942",
            "fax_number": "954-481-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 W SAMPLE RD STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33067",
            "telephone_number": "954-481-9942",
            "fax_number": "954-481-9917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7955 Spyglass Hill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408249",
            "country_code": "US",
            "telephone_number": "321-751-3389",
            "fax_number": "321-242-2545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7955 Spyglass Hill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408249",
            "country_code": "US",
            "telephone_number": "321-751-3389",
            "fax_number": "321-242-2545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8701 N US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329587524",
            "country_code": "US",
            "telephone_number": "321-751-3389",
            "fax_number": "321-242-2545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Century Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327962141",
            "country_code": "US",
            "telephone_number": "321-751-3389",
            "fax_number": "321-242-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPPINGER",
        "first_name": "JORDAN",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME91965",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME91965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "16216",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7685894",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8882895",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Joseph Kuhlmeier, D.C.
• Kerry L. Kuhn, M.D.
• Walter Kennedy Kulick, DMD
• Monika Anna Kulik, PA
• Glenn Scott Kupfer, D.D.S.
• Kateryna Kurako, M.D
• Keith Alan Kurland, MD
• Nesreen Helmy Kurtom, D.O.
• Lorena Kuschel, ARNP
• Amber Kuttesch, BCABA

• All providers in Coral Springs, FL
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.