Aleksandr Kaipov, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME133899 Issued in FL

Practice address

2225 N University Dr
Pembroke Pines, FL 33024-3611

Phone

(954) 962-6200

NPI assigned

Nov 5, 2014

Last updated

Dec 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.01 of 100Reported as group

Quality

72.99

Promoting interoperability

82

Improvement activities

40

Cost

78.71

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Public Health Trust of Miami Dade County Florida

  dba JMG Specialty Physicians

  • General Practice Physician
  • Miami, FL
  • NPI 1134384423
  Medicare reassignment Care Compare group NPD
• Public Health Trust of Miami Dade County Florida

  dba PHT/JHS-JMH Hospitalists

  • Hospitalist Physician
  • Miami, FL
  • NPI 1043395460
  Medicare reassignment NPD
• Public Health Trust of Miami Dade County Florida

  dba Jackson North Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Opa Locka, FL
  • NPI 1063417483
  Medicare reassignment NPD
• Mashkin, Inc.

  • Psychiatry Physician
  • Pembroke Pines, FL
  • NPI 1265946875
  Authorized official Same address or phone
• Public Health Trust of Miami Dade County Florida

  dba Jackson Medical Group

  • General Practice Physician
  • Miami, FL
  • NPI 1326780016
  NPD
• Public Health Trust of Miami Dade County Florida

  • Urgent Care Clinic/Center
  • Miami Beach, FL
  • NPI 1578418232
  NPD
• Public Health Trust of Miami Dade County Florida

  dba JMH Mental Health Case Management

  • Case Management Agency
  • Miami, FL
  • NPI 1679648844
  NPD
• Public Health Trust of Miami Dade County Florida

  • General Practice Physician
  • Hialeah, FL
  • NPI 1841149093
  NPD

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1558767392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W CYPRESS CREEK RD STE 600",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091847",
            "telephone_number": "954-842-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-962-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "305-284-7659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAIPOV",
        "first_name": "ALEKSANDR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9327250",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN21096",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME133899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ashton Justice, LCSW
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• Asuncion Ortiz Kahn, LCSW ACSW ED.S.
• Oluwakemi Kalejaiye
• Sophia Kalomiris, M.D.
• Kyungmin Kang, M.D.
• Stanley David Kanowitz, DDS
• Andrew Daniel Kapadia

• Psychiatry Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.