Individual provider Active NPI

Kevin Lee Taylor, M.D.

  • Emergency Medicine Physician
  • Pinecrest, FL
National Provider Identifier
1407039522
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME116337 Issued in FL
Practice address
9220 SW 69TH Ave
Pinecrest, FL 33156-3053
Phone
(786) 527-1377
NPI assigned
Dec 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2009-00848 NC
Emergency Medicine Physician 207P00000X ME116337 FL Primary

Addresses

Primary practice location

9220 SW 69TH Ave
Pinecrest, FL 33156-3053

Mailing address

9220 SW 69TH Ave
Pinecrest, FL 33156-3053
Phone (786) 527-1377

Other identifiers 1

IdentifierTypeStateIssuer
5912688MedicaidNC

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
I20130906000498 FL Practitioner - Emergency Medicine 8022154103 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care by PhoneGroup PAC ID 1456889922, 3 clinicians
Emed LLPGroup PAC ID 1557259975, 28 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

10094 W Indiantown Rd
Suite B
Jupiter, FL 33478-4723
Phone (561) 725-7180

10125 Glades Rd
Boca Raton, FL 33498-6739
Phone (561) 309-7815

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00848NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Florida PA Emergency Medicine CurrentSince Feb 14, 2020 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
E-Med LLP CurrentSince Dec 1, 2024 Accepting new patients
Em Alliance LLC Emergency Medicine CurrentSince Feb 9, 2026 Accepting new patients
Urgent Care by Phone CurrentSince Oct 1, 2024 Accepting new patients
Sterling Emergency Services of Florida PA Emergency Medicine Current Accepting new patients
North Carolina Em I Medical Services P C Past Accepting new patients
Waterway Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

10125 Glades Rd
Boca Raton, FL 33498
Phone (561) 309-7815

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

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

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

10094 Indiantown Rd
Ste B
Jupiter, FL 33478
Phone (561) 725-7180

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

7 Easton Oval
#L4387
Columbus, OH 43219

Organizations & group practices 8

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 2

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": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1407039522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 SW 69TH AVE",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563053",
            "telephone_number": "786-527-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 SW 69TH AVE",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563053",
            "telephone_number": "786-527-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2009-00848",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME116337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912688",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

Verify at the official NPI Registry.