Kelsey Deidrick, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28391 Issued in FL

Practice address

1402 NE 26TH St
Wilton Manors, FL 33305-1322

Phone

(954) 563-3767

NPI assigned

Jun 12, 2019

Last updated

Feb 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL, LA2 enrollments

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 2

Specialty

Internal Medicine

Education

University of Miami, LM Miller School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Home Health Services Home health agency, Fort Lauderdale, FL, CCN 107103
• Catholic Home Health Services of Broward, Inc. Home health agency, Lauderdale Lakes, FL, CCN 107110
• All Services Home Health Agency Inc Home health agency, Fort Lauderdale, FL, CCN 687165
• Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelsey.deidrick.1@29601.direct.athenahealth.com
• Direct secure messaging: dkelsey2013620@direct.trinity-health.org
• Direct secure messaging: kad64@med.miami.edu

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.

• Sound Physicians of Florida VI LLC

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1417761073
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care FL Inc

  dba CenterWell Senior Primary Care of Hoffner

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1487686705
  Medicare reassignment NPD
• Centerwell Senior Primary Care la CS PC

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1952196495
  Medicare reassignment NPD
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1124252333
  Medicare reassignment
• Centerwell Senior Primary Care (FL) Inc.

  dba CenterWell Senior Primary Care of Rosemont

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1184669418
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  dba CenterWell Senior Primary Care of Soldier City

  • Internal Medicine Physician
  • Saint Cloud, FL
  • NPI 1831083187
  NPD

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

• All Services Home Health Agency Inc

  • Home Health Agency
  • Weston, FL
  • NPI 1659945038
  Care Compare affiliation
• Catholic Home Health Services of Broward Inc

  • Home Health Agency
  • Lauderdale Lakes, FL
  • NPI 1184679318
  Care Compare affiliation
• Holy Cross Hospital Inc

  dba Holy Cross Medical Group

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1467401877

  Hospital

  Care Compare affiliation
• Holy Cross Hospital Inc

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1639197395
  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1376953125

  Hospital

  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1386985190

  Hospital

  Care Compare affiliation
• Traditional Home Care Inc.

  dba Community Home Health Services

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1598717605
  Care Compare affiliation

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1265091391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NW 6TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333251902",
            "telephone_number": "954-812-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051322",
            "telephone_number": "954-563-3767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327143335",
            "country_code": "US",
            "telephone_number": "850-304-7986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4725 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084668",
            "country_code": "US",
            "telephone_number": "954-938-3359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEIDRICK",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "28391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsey.deidrick.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "360 Douglas Ave",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327143335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kad64@med.miami.edu",
            "affiliation": "N",
            "address_1": "4725 N Federal Hwy",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333084668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eddy Dalus, LMT
• David K Warner DDS PA (Island City Smiles)
• Myron Gy'Ton Davidson, M.D.
• Kavitha Davis
• William J Davis, RPH
• Shirley Carolina Delmoral, LMHC
• Denebola TR
• Joyce Despres
• Mark Daniel Dhooge
• Carlos S Diaz Barcelo, M.D.

• Internal Medicine Physician in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.