Active NPI
Joshua Kieval, MD
- Interventional Cardiology Physician
- Atlantis, FL
National Provider Identifier
1629010418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME30319
- Practice address
- 5503 S Congress Ave
Suite 206
Atlantis, FL 33462-6625 - Phone
- (561) 433-0591
- Fax
- (561) 433-0891
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME30319 | FL | |
| Interventional Cardiology Physician | 207RI0011X | ME30319 | FL | Primary |
Addresses
Primary practice location
5503 S Congress Ave
Suite 206
Atlantis, FL 33462-6625
Mailing address
5503 S Congress Ave
Suite 206
Atlantis, FL 33462-6625
Phone (561) 433-0591
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038178100 | Medicaid | FL | |
| 95238 | Other | FL | BCBS FL |
| P00609970 | Other | FL | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME30319 | FL | MD | Interventional Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1629010418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 S CONGRESS AVE",
"address_2": "SUITE 206",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626625",
"telephone_number": "561-433-0591",
"fax_number": "561-433-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 S CONGRESS AVE",
"address_2": "SUITE 206",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626625",
"telephone_number": "561-433-0591",
"fax_number": "561-433-0891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEVAL",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME30319",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME30319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038178100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "95238",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00609970",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.