Individual provider Active NPI

Kiprianos S Armenakis, MD

  • Internal Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1306000211
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME107125 Issued in FL
Practice address
2205 Bay Dr
Pompano Beach, FL 33062-2912
Phone
(754) 888-5656
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME107125 FL Primary
Specialist 174400000X ME107125 FL

Addresses

Primary practice location

2205 Bay Dr
Pompano Beach, FL 33062-2912

Mailing address

1600 N Federal Hwy
Suite a
Pompano Beach, FL 33062-3229
Phone (754) 234-0984

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
I20101118000948 FL Practitioner - Internal Medicine 7214129881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 N Federal Hwy
Suite a
Pompano Beach, FL 33062-3229
Phone (754) 234-0984

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107125FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Medical Specialist Inc Single Specialty Current Accepting new patients
Broward Medical Specialist Inc Single Specialty CurrentSince Jun 1, 2010 Accepting new patients

Locations

1600 N Federal Hwy
#A
Pompano Beach, FL 33062
Phone (754) 234-0984

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 9

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1306000211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N FEDERAL HWY",
            "address_2": "SUITE A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623229",
            "telephone_number": "754-234-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 BAY DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330622912",
            "telephone_number": "754-888-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENAKIS",
        "first_name": "KIPRIANOS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107125",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME107125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.