Individual provider Active NPI

Kiana Mahboubi, MD

  • Otolaryngology Physician
  • Celebration, FL
National Provider Identifier
1245115997
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME177320 Issued in FL
Practice address
410 Celebration PL Ste 100
Celebration, FL 34747-5432
Phone
(321) 939-3000
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X ME177320 FL Primary

Addresses

Primary practice location

410 Celebration PL Ste 100
Celebration, FL 34747-5432

Mailing address

410 Celebration PL Ste 100
Celebration, FL 34747-5432
Phone (321) 939-3000

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
I20260406001022 FL Practitioner - Otolaryngology 9931674207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

410 Celebration PL
Suite 100
Celebration, FL 34747-5432
Phone (321) 939-3000

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME177320FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Multi-Specialty CurrentSince Aug 17, 2025 Accepting new patients
Florida Hospital Medical Group Inc PastSince Aug 17, 2025 Accepting new patients

Locations

410 Celebration Pl
Ste 100
Kissimmee, FL 34747
Phone (321) 939-3000

410 Celebration Pl
Ste 305
Kissimmee, FL 34747
Phone (407) 303-4120

Interoperability endpoints

  • Direct secure messaging: kmahboubi5505708@adventhealth.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1245115997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 100",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475432",
            "telephone_number": "321-939-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 100",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475432",
            "telephone_number": "321-939-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHBOUBI",
        "first_name": "KIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME177320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.