Central Florida Kidney Specialists Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CENTRAL FLORIDA KIDNEY SPECIALISTS INC

Practice address

3885 Oakwater Cir
Orlando, FL 32806-6257

Phone

(407) 816-5700

Fax

(407) 812-6766

NPI assigned

Jan 6, 2023

Last updated

May 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michele Dejesus

Title

Practice Manager

Phone

(407) 816-5735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tania Abi Antoun, M.D.

  • Nephrology Physician
  • Orlando, FL
  • NPI 1174766570
  Medicare reassignment Care Compare group NPD
• Elpidio Antonio Abreu, MD

  • Nephrology Physician
  • Ocoee, FL
  • NPI 1174597025
  Medicare reassignment Care Compare group NPD
• Fawad Ahmed, MD

  • Nephrology Physician
  • Orlando, FL
  • NPI 1134157811
  Medicare reassignment Care Compare group NPD
• Jaime Ann Baynes-Fields, D.O.

  • Nephrology Physician
  • Orlando, FL
  • NPI 1376978866
  Medicare reassignment Care Compare group NPD
• Amit Bhargava, MD

  • Nephrology Physician
  • Kissimmee, FL
  • NPI 1699749440
  Medicare reassignment Care Compare group NPD
• Shelby Paige Brads

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1982211629
  Medicare reassignment Care Compare group NPD
• Jeffrey Mark Cohen, MD

  • Nephrology Physician
  • Orlando, FL
  • NPI 1942275383
  Medicare reassignment Care Compare group NPD
• Lazaro Luis Delgado, MD

  • Nephrology Physician
  • Kissimmee, FL
  • NPI 1972579779
  Medicare reassignment Care Compare group NPD
• Devannah Victoria Gardner, APRN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1336779966
  Medicare reassignment Care Compare group NPD
• Breanne Tonette Gemenes, ARNP

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1457601957
  Medicare reassignment Care Compare group NPD
• Latrencia T Johnson, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1902849870
  Medicare reassignment Care Compare group NPD
• Jorge Antonio Larranaga, MD

  • Nephrology Physician
  • Kissimmee, FL
  • NPI 1346215308
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1346954138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066257",
            "telephone_number": "407-816-5700",
            "fax_number": "407-812-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066257",
            "telephone_number": "407-816-5700",
            "fax_number": "407-812-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA KIDNEY SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "407-816-5735"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Kidney Centers Inc
• Central Florida Kidney Centers Inc
• Central Florida Kidney Centers Inc
• Central Florida Kidney Centers Inc
• Central Florida Kidney Centers Inc (Central Florida Kidney Center - East Orlando)
• Central Florida Medical & Chiropractic Center
• Central Florida Medical Center Inc
• Central Florida Mental Health Services LLC
• Central Florida Nephrology PLLC
• Central Florida Optical, LLC

• Nephrology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.