Active NPI
Kenaz Taleb, MD
- Family Medicine Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME169017
- Practice address
- 3450 11TH CT Ste 201
Vero Beach, FL 32960-5012 - Phone
- (772) 794-3364
- NPI assigned
- Apr 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME169017 | FL | Primary |
Addresses
Primary practice location
3450 11TH CT Ste 201
Vero Beach, FL 32960-5012
Mailing address
1471 Whitman Dr
West Melbourne, FL 32904-8755
Phone (321) 417-4737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME169017 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3450 11TH CT
Vero Beach, FL 32960-5012
Phone (772) 794-3364
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients |
Locations
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
3450 11th Ct
Ste 201
Vero Beach, FL 32960
Phone (772) 794-3364
1960 Pointe West Dr
Ste 101
Vero Beach, FL 32966
Phone (772) 564-7828
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
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 and National Provider Directory roles.
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Multi-Specialty Clinic/Center
- Vero Beach, FL
- NPI 1588298285
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1437730926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 WHITMAN DR",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329048755",
"telephone_number": "321-417-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 11TH CT STE 201",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605012",
"telephone_number": "772-794-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALEB",
"first_name": "KENAZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2024-10-28",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME169017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "ME169017",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Tactical Rehabilitation Inc
- Maha Tadrous
- Taher Husainy MD
- Take Flight Counseling & Consulting, LLC
- Takisha Stringer LLC (Dunamis Greater Solutions)
- Melissa Talley, OTR/L, CHT
- Tandem Health Care of Vero Beach, Inc. (Tandem Health Care of Vero Beach)
- Jaime Erin Tanner, M.S., BCBA
- Katiuska Tanner, LMHC, NCC
- Tara Moran RDN LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
- 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.