Internal Medicine & Kidney Associates PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

INTERNAL MEDICINE & KIDNEY ASSOCIATES PA

Practice address

1111 12TH St Ste 108
Key West, FL 33040-4087

Phone

(305) 293-5015

Fax

(305) 293-5016

NPI assigned

Apr 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Taweh Dardwah Beysolow, MDNPI 1720065212

Title

Owner/Physician

Phone

(305) 293-5015

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taweh D Beysolow, MD

  • Nephrology Physician
  • Key West, FL
  • NPI 1720065212
  Medicare reassignment Care Compare group NPD Authorized official
• Ibette Fernandez

  • Adult Health Nurse Practitioner
  • Miami, FL
  • NPI 1497274526
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1336382860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH ST STE 108",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404087",
            "telephone_number": "305-293-5015",
            "fax_number": "305-293-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH ST STE 108",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404087",
            "telephone_number": "305-293-5015",
            "fax_number": "305-293-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & KIDNEY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "BEYSOLOW",
        "authorized_official_first_name": "TAWEH",
        "authorized_official_middle_name": "DARDWAH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "305-293-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000835400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imka_10_continuity_of_care_documents2001044@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1010 Kennedy Dr Ste 401",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330404134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imka_10_continuity_of_care_documents2001044@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1111 12th St Ste 108",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330404087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nephrology Physician in Key West, FL
• Providers in Key West, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.