Organization Active NPI

KM Family Physician, LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1356601702
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100037 Issued in FL
Legal business name
KM FAMILY PHYSICIAN, LLC
Practice address
101 W. Kaley St
Orlando, FL 32806
Phone
(407) 872-8490
Fax
(407) 872-2454
NPI assigned
May 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Dr. Karelina Muguercia, M.DNPI 1184806127
Title
Owner
Phone
(407) 872-8491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME100037 FL Primary

Addresses

Primary practice location

101 W. Kaley St
Orlando, FL 32806

Mailing address

25 W Kaley Ave.
Suite 300 B
Orlando, FL 32806-2939
Phone (407) 323-7618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121008000565 FL Part B Supplier - Clinic/Group Practice 3971752973 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2044864KM Family Physician LLC101 W Kaley St, Orlando, FL 32806Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory

Locations

101 W Kaley St
Orlando, FL 32806
Phone (407) 841-3240

25 W Kaley St
Ste 300
Orlando, FL 32806
Phone (321) 481-2244

25 W Kaley St
Ste 300B
Orlando, FL 32806
Phone (407) 872-8491

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1356601702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W KALEY AVE.",
            "address_2": "SUITE 300 B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062939",
            "telephone_number": "407-323-7618",
            "fax_number": "407-323-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. KALEY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-872-8490",
            "fax_number": "407-872-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM FAMILY PHYSICIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "MUGUERCIA",
        "authorized_official_first_name": "KARELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-872-8491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.