Individual provider Active NPI

Maria Natalie Kyriacou, MD

  • Sports Medicine (Family Medicine) Physician
  • Miami, FL
National Provider Identifier
1336668763
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME141195 Issued in FL
Practice address
15955 SW 96TH St Ste 402
Miami, FL 33196-1273
Phone
(786) 467-3430
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8587 GA
Sports Medicine (Family Medicine) Physician 207QS0010X ME141195 FL Primary

Addresses

Primary practice location

15955 SW 96TH St Ste 402
Miami, FL 33196-1273

Mailing address

15955 SW 96TH St
Miami, FL 33196-1271
Phone (786) 467-3430

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
I20200715002021 FL Practitioner - Sports Medicine 6305260993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Mercer University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

1150 Campo Sano Ave
Coral Gables, FL 33146-1174
Phone (786) 268-6200

Hospital & facility affiliations

  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
  • South Miami Hospital Hospital, Miami, FL, CCN 100154

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Sep 1, 2020 Accepting new patients
Phoebe Physician Group, Inc Past Accepting new patients
Phoebe Putney Memorial Hospital Family Medicine Past Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

15955 SW 96th St
Miami, FL 33196
Phone (786) 467-3430

1150 Campo Sano Ave
Miami, FL 33146
Phone (305) 348-9414

15955 SW 96th St
Ste 401
Miami, FL 33196
Phone (786) 467-3430

15955 SW 96th St
Ste 402
Miami, FL 33196
Phone (786) 467-3430

19955 NW 27th Ave
Ste 200
Miami Gardens, FL 33056
Phone (786) 595-1310

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

Interoperability endpoints

  • Direct secure messaging: mar26827@cerner.directbaptisthealth.com

Organizations & group practices 3

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 4

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1336668763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961271",
            "telephone_number": "786-467-3430",
            "fax_number": "786-533-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961273",
            "telephone_number": "786-467-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIACOU",
        "first_name": "MARIA",
        "middle_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "8587",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME141195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.