Kidney Institute of Miami LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY INSTITUTE OF MIAMI LLC

Practice address

5040 NW 7TH St Ste 635
Miami, FL 33126-3796

Phone

(305) 644-2212

Fax

(786) 475-7787

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey De Jesus Maldonado, MD

Title

Owner

Phone

(305) 644-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey De Jesus Maldonado Pena, M.D

  • Nephrology Physician
  • Miami, FL
  • NPI 1679912117
  Medicare reassignment NPD
• Carlos J Diaz

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1083287908
  Medicare reassignment
• Arnaldo Quintero, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1538564091
  Medicare reassignment

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1548904238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331524102",
            "telephone_number": "305-644-2212",
            "fax_number": "786-475-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263796",
            "telephone_number": "305-644-2212",
            "fax_number": "786-475-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11760 SW 40th St Ste 411",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753595",
            "country_code": "US",
            "telephone_number": "305-967-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY INSTITUTE OF MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-644-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1679912117",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "KAREO",
            "affiliation": "N",
            "endpointDescription": "PRATICE MANAGEMENT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5040 NW 7th St Ste 635",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331263796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nephrology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.