Individual provider Active NPI

Constantine Nicholas Kitsos, MD

  • Plastic and Reconstructive Surgery Physician
  • Miami, FL
National Provider Identifier
1194758078
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
11729 Issued in FL
Practice address
9000 NE 2ND Ave
Miami, FL 33138
Phone
(305) 754-0400
Fax
(305) 754-0045
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 11729 FL Primary

Addresses

Primary practice location

9000 NE 2ND Ave
Miami, FL 33138

Mailing address

9000 NE 2ND Ave
Miami, FL 33138
Phone (305) 754-0400

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
I20121220000051 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 5496907412 Practice locations: Miami Shores, FL

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
University of Washington School of Medicine, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9000 NE 2ND Ave
Miami Shores, FL 33138-3034
Phone (305) 754-0400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194758078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33138",
            "telephone_number": "305-754-0400",
            "fax_number": "305-754-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33138",
            "telephone_number": "305-754-0400",
            "fax_number": "305-754-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITSOS",
        "first_name": "CONSTANTINE",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "11729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.