Active NPI
Madelyn D Kahana, M.D.
- Pediatric Critical Care Medicine Physician
- Orlando, FL
National Provider Identifier
1558411595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- ME134506
- Practice address
- 13535 Nemours Pkwy
Orlando, FL 32827-7402 - Phone
- (407) 567-4000
- Fax
- (407) 567-5924
- NPI assigned
- Jan 11, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036066412 | IL | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 036066412 | IL | |
| Pediatric Anesthesiology Physician | 207LP3000X | 036066412 | IL | |
| Pediatric Anesthesiology Physician | 207LP3000X | ME134506 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME134506 | FL | Primary |
Addresses
Primary practice location
13535 Nemours Pkwy
Orlando, FL 32827-7402
Mailing address
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-4127
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023561900 | Medicaid | FL | |
| 036066412 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036066412 | IL | MD | Anesthesiology Physician |
| ME134506 | FL | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Anesthesiology | Current | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
111 E 210th St
Bronx, NY 10467
Interoperability endpoints
- mkahana70748@direct.nemours.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1558411595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10140 CENTURION PKWY N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560532",
"telephone_number": "904-697-4127",
"fax_number": "904-697-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277402",
"telephone_number": "407-567-4000",
"fax_number": "407-567-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHANA",
"first_name": "MADELYN",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036066412",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "IL",
"license": "036066412",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "IL",
"license": "036066412",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "FL",
"license": "ME134506",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME134506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023561900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036066412",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.