Narendra M Kini, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME106315 Issued in FL

Practice address

12850 SW 60TH Ave
Suite 300
Pinecrest, FL 33156-7101

Phone

(305) 661-6072

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, DC, MA, VT, RI5 enrollments

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 5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CDR Health Care Inc

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1497352587

  MA

  Medicare reassignment NPD
• CDR Laboratories Inc

  • Clinical Medical Laboratory
  • Doral, FL
  • NPI 1730820846
  NPD (past)
• DV3 Health, Inc.

  dba CDR Health a TMG Practice

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1144941816
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1386671303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 SW 60TH AVE",
            "address_2": "SUITE 300",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331567101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 SW 60TH AVE",
            "address_2": "SUITE 300",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331567101",
            "telephone_number": "305-661-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINI",
        "first_name": "NARENDRA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "084506",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME106315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "NK084506",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104654307",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Jones
• Thamousca Junis-Florian, LMHC, IMH-E
• Kenward and Mayoral Dentistry Partnership
• Kevin B. Fox (Fox Medical Center, Inc.)
• Amy Kimberlain, RD
• Ekaterina Kotova, PHD
• Rachel Samara Lapides, LMFT
• Erika Lara, MD
• Diana Farren Lee, LMFT
• Ana Maria Li-Rosi, LMHC, NCC

• General Practice Physician in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.