Active NPI
Kei Nakanishi, MD
- Obstetrics & Gynecology Physician
- Fort Lauderdale, FL
National Provider Identifier
1285636811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME76076
- Practice address
- 1600 S Andrews Avenue
Phoenix OB/GYN, LLC
Fort Lauderdale, FL 33316-2510 - Phone
- (954) 355-5110
- Fax
- (954) 355-4919
- NPI assigned
- Aug 12, 2005
- Last updated
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME76076 | FL | Primary |
Addresses
Primary practice location
1600 S Andrews Avenue
Phoenix OB/GYN, LLC
Fort Lauderdale, FL 33316-2510
Mailing address
3114 Croasdaile Drive
Suite 200
Durham, NC 27705-2508
Phone (919) 425-1565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259485400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Womens Healthcare of Southern Florida Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Khadra M Osman M D P a | Obstetrics & Gynecology | Past | Accepting new patients |
| Broward Multispecialty Group LLC | Past | Accepting new patients | |
| All Womens Healthcare of Southern Florida Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Advanced Practice Midwife
- Weston, FL
- NPI 1205818416
Obstetrics & Gynecology
-
- Advanced Practice Midwife
- Pembroke Pines, FL
- NPI 1972585735
Obstetrics & Gynecology
-
- Neurological Surgery Physician
- North Miami Beach, FL
- NPI 1730403122
-
- Medical Specialty Clinic/Center
- Fort Lauderdale, FL
- NPI 1467422097
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1285636811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 CROASDAILE DRIVE",
"address_2": "SUITE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052508",
"telephone_number": "919-425-1565",
"fax_number": "919-425-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S ANDREWS AVENUE",
"address_2": "PHOENIX OB/GYN, LLC",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162510",
"telephone_number": "954-355-5110",
"fax_number": "954-355-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKANISHI",
"first_name": "KEI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME76076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259485400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.