Individual provider Active NPI

Francisco A Kerdel, MD

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1144258724
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME50029 Issued in FL
Practice address
1400 NW 12TH Ave
Suite #4
Miami, FL 33136-1003
Phone
(305) 324-2110
Fax
(305) 325-0919
NPI assigned
Jun 30, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME50029 FL Primary

Addresses

Primary practice location

1400 NW 12TH Ave
Suite #4
Miami, FL 33136-1003

Mailing address

1400 NW 12TH Ave
Suite #4
Miami, FL 33136-1003
Phone (305) 324-2110

Other identifiers 1

IdentifierTypeStateIssuer
045067700MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041022000346 FL Practitioner - Dermatology 7315908357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

475 Biltmore Way
Suite 207
Coral Gables, FL 33134-5736
Phone (305) 324-2110

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions574
Skin biopsy95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME50029FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Healthcare USA Inc Current Accepting new patients
Dermatology Group of Florida, P.a. Dermatology CurrentSince Jan 1, 2018 Accepting new patients
Wound Healing & Dermatology Institute Inc Past Accepting new patients
University of Miami Past Accepting new patients
University of Miami Dermatology PastSince Mar 9, 1995 Accepting new patients
University of Miami Past Accepting new patients
Martin N Zaiac, M.D., LLC Past Accepting new patients

Locations

2030 S Douglas Rd
Ste 118
Coral Gables, FL 33134
Phone (305) 476-8896

475 Biltmore Way
Ste 207
Coral Gables, FL 33134
Phone (305) 324-2110

836 Ponce de Leon Blvd
Ste 204
Coral Gables, FL 33134
Phone (305) 261-0001

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
#E
Miami, FL 33136

Interoperability endpoints

  • Direct secure messaging: fkerdel@dcm.emadirect.md

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1144258724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "address_2": "SUITE #4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-324-2110",
            "fax_number": "305-325-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "address_2": "SUITE #4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-324-2110",
            "fax_number": "305-325-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERDEL",
        "first_name": "FRANCISCO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME50029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045067700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.