Individual provider Active NPI

Michael P Klitenick, M.D.

  • Surgery Physician
  • Key West, FL
National Provider Identifier
1245332469
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME31698 Issued in FL
Practice address
3136 Northside Dr Unit D
Key West, FL 33040-8027
Phone
(305) 271-9777
Fax
(786) 591-6191
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0031698 FL
Surgery Physician 208600000X ME31698 FL Primary

Addresses

Primary practice location

3136 Northside Dr Unit D
Key West, FL 33040-8027

Mailing address

PO Box 100707
Atlanta, GA 30384-0707
Phone (786) 662-7980

Other identifiers 2

IdentifierTypeStateIssuer
93832OtherFLPROVIDER INDV. NUMBER
067446000MedicaidFL

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
I20120109000955 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 2769665256 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0031698FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Upper Keys, LLC Specialist CurrentSince May 25, 2026 Accepting new patients

Locations

3136 Northside Dr
Unit D
Key West, FL 33040

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1245332469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100707",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840707",
            "telephone_number": "786-662-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 NORTHSIDE DR UNIT D",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408027",
            "telephone_number": "305-271-9777",
            "fax_number": "786-591-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLITENICK",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0031698",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME31698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER INDV. NUMBER",
            "identifier": "93832",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067446000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.