Organization Active NPI

Modernwellnesssolutions PLLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1518849306
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MODERNWELLNESSSOLUTIONS PLLC
Practice address
2999 NE 191St St Ste 300
Miami, FL 33180-3115
Phone
(773) 432-5761
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Dr. Kristopher Rai, MDNPI 1932588449
Title
Member
Phone
(773) 432-5761

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2999 NE 191St St Ste 300
Miami, FL 33180-3115

Mailing address

14054 Eylewood Dr
Winter Garden, FL 34787-4665

Other practice location 1

14054 Eylewood Dr
Winter Garden, FL 34787-4665
Phone (773) 432-5761

National Provider Directory

National Provider Directory

Locations

2999 NE 191st St
Ste 300
Miami, FL 33180
Phone (305) 933-3170

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1518849306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14054 EYLEWOOD DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331803115",
            "telephone_number": "773-432-5761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14054 Eylewood Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347874665",
            "country_code": "US",
            "telephone_number": "773-432-5761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODERNWELLNESSSOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "773-432-5761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.