Organization Active NPI

Urgent Care Physicians of West Kendall LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1508989757
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
URGENT CARE PHYSICIANS OF WEST KENDALL LLC
Practice address
13001 SW 88TH St
Miami, FL 33186-1708
Phone
(786) 596-3800
NPI assigned
Apr 10, 2007
Organization subpart
Yes
Parent organization
URGENT CARE PHYSICIANS OF SOUTH FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
David Raymond Nateman, MDNPI 1568490266
Title
Owner
Phone
(786) 888-8820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

13001 SW 88TH St
Miami, FL 33186-1708

Mailing address

PO Box 162847
Altamonte Springs, FL 32716-2847
Phone (786) 888-8820

Other identifiers 2

IdentifierTypeStateIssuer
278548000MedicaidFL
39169OtherBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000044 FL Part B Supplier - Clinic/Group Practice 4789772591 Receives reassigned benefits from 81 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890

9130 S Dadeland Blvd
Ste 1202
Miami, FL 33156
Phone (330) 317-1594

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1508989757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162847",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162847",
            "telephone_number": "786-888-8820",
            "fax_number": "786-591-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861708",
            "telephone_number": "786-596-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE PHYSICIANS OF WEST KENDALL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URGENT CARE PHYSICIANS OF SOUTH FLORIDA LLC",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "NATEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-888-8820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278548000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "39169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.