Edward Stephen Kris, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME71114 Issued in FL

Practice address

2800 S Seacrest Blvd
Suite 150
Boynton Beach, FL 33435-7961

Phone

(561) 734-1888

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

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 and National Provider Directory roles.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Pediatrics

  Medicare reassignment NPD
• Seitz Pediatrics

  • Pediatrics Physician
  • Boynton Beach, FL
  • NPI 1093844151
  NPD (past) Authorized official

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1619943669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 150",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357961",
            "telephone_number": "561-734-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 150",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357961",
            "telephone_number": "561-734-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIS",
        "first_name": "EDWARD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME71114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "186635",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42547",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266397000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Hara Kramer, OTR
• Hillary L Krawatsky, DDS
• Randall W Kreuzer, DPT
• Bruce E Krieg, O.D.
• Karen Kriger
• Geddy Jay Krul, MD
• Mara Anne Kryvicky, PA-C
• Jeffrey L Kugler, MD
• Kurt George Kull, O.D.
• Susan Kuncewitch, RN

• Pediatrics Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.

Verify at the official NPI Registry.