Active NPI
Kyle Risos
- Internal Medicine Physician
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS19464
- Practice address
- Jackson North Medical Center
160 N.W. 170TH Street
North Miami Beach, FL 33169 - Phone
- (305) 651-1100
- NPI assigned
- Apr 15, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS19464 | FL | Primary |
Addresses
Primary practice location
Jackson North Medical Center
160 N.W. 170TH Street
North Miami Beach, FL 33169
Mailing address
Jackson North Medical Center
160 N.W. 170TH Street
North Miami Beach, FL 33169
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Nova Southeastern College of Osteo Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 355-4400
Hospital & facility affiliations
- Broward Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS19464 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Grove Physician Services, P.a. | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Medicine Services, LLC. | Current | Accepting new patients |
Locations
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957
200 Corporate Blvd
Lafayette, LA 70508
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.
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1508873183
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1689446700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1316566680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JACKSON NORTH MEDICAL CENTER",
"address_2": "160 N.W. 170TH STREET",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JACKSON NORTH MEDICAL CENTER",
"address_2": "160 N.W. 170TH STREET",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33169",
"telephone_number": "305-651-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISOS",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS19464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.