Individual provider Active NPI

Kinjal Suryawala, MD

  • Pediatric Gastroenterology Physician
  • Naples, FL
National Provider Identifier
1407099849
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME127948 Issued in FL
Practice address
130 Tamiami TRL N Ste 100
Naples, FL 34102-6231
Phone
(239) 540-8262
Fax
(239) 323-0921
NPI assigned
Apr 15, 2009
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X MD.205648 LA
Pediatric Gastroenterology Physician 2080P0206X ME127948 FL Primary

Addresses

Primary practice location

130 Tamiami TRL N Ste 100
Naples, FL 34102-6231

Mailing address

130 Tamiami TRL N Ste 100
Naples, FL 34102-6231
Phone (239) 540-8262

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
I20160810002663 FL Practitioner - Pediatric Medicine 2163671033 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127948FLMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Medical Services, Inc Pediatric Gastroenterology CurrentSince Aug 15, 2016 Accepting new patients
Kidz Medical Services, Inc CurrentSince Aug 15, 2016 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

2600 Immokalee Rd
Naples, FL 34110
Phone (239) 213-0690

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBDAED/Endpoint/GBDAED

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1407099849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TAMIAMI TRL N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026231",
            "telephone_number": "239-540-8262",
            "fax_number": "239-323-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TAMIAMI TRL N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026231",
            "telephone_number": "239-540-8262",
            "fax_number": "239-323-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYAWALA",
        "first_name": "KINJAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.205648",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME127948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.