Individual provider Active NPI

Dana Kleinman, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Lakeland, FL
National Provider Identifier
1457592339
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS11037 Issued in FL
Practice address
5428 Luce Rd
Lakeland, FL 33813-2951
Phone
(786) 239-1766
Fax
(407) 289-4036
NPI assigned
Mar 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS11037 FL
Physical Medicine & Rehabilitation Physician 208100000X OS11037 FL Primary
Emergency Medicine Physician 207P00000X OS 11037 FL

Addresses

Primary practice location

5428 Luce Rd
Lakeland, FL 33813-2951

Mailing address

5428 Luce Rd
Lakeland, FL 33813-2951
Phone (786) 239-1766

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
I20110616000405 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 4688852874 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Quality
88.09
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 11037FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Wellness Reclamation LLC Physical Medicine & Rehabilitation CurrentSince Feb 1, 2024 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 19, 2018 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Polk Emergency Group LLC Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
Regenerative Sport Spine and Spa PastSince Oct 2, 2019 Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

10920 Moss Park Rd
Ste 218
Orlando, FL 32832
Phone (407) 730-5600

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1457592339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 LUCE RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132951",
            "telephone_number": "786-239-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 LUCE RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132951",
            "telephone_number": "786-239-1766",
            "fax_number": "407-289-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "DANA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11037",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS11037",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS 11037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.