Active NPI
Edu Anthony Kirindongo, MD
- Family Medicine Physician
- Lake Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME67264
- Practice address
- 415 US Highway 1 Ste D
Lake Park, FL 33403-3585 - Phone
- (561) 842-5900
- NPI assigned
- Apr 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME67264 | FL | Primary |
Addresses
Primary practice location
415 US Highway 1 Ste D
Lake Park, FL 33403-3585
Mailing address
415 US Highway 1 Ste D
Lake Park, FL 33403-3585
Phone (561) 842-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377790100 | Medicaid | FL |
Other names 1
- Dr. Edu Anthony Kirindongo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | edu.kirindongo.1@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
415 US Hwy 1
Suite D
Lake Park, FL 33403-3585
Phone (561) 842-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Family Medicine | Current | Accepting new patients |
| Palm Beach Medical Clinic LLC | Past | Accepting new patients | |
| Anthony Kirindongo MD Corp | Family Medicine | Past | Accepting new patients |
| Medical Home Alliance LLC | Past | Accepting new patients | |
| Eena Comprehensive Neurology and Sleep Center Inc | Past | Accepting new patients |
Locations
440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000
4960 SW 72nd Ave
Ste 406
Miami, FL 33155
415 US Highway 1
Ste D
West Palm Beach, FL 33403
Phone (561) 842-5900
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- edu.kirindongo.1@29601.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
Family Medicine
-
- Family Medicine Physician
- Palm Springs, FL
- NPI 1245319243
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Boyton Beach, FL
- NPI 1710323910
-
- Non-Pharmacy Dispensing Site
- Winter Haven, FL
- NPI 1033648233
-
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1710183744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773446400000",
"number": "1629030747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 US HIGHWAY 1 STE D",
"city": "LAKE PARK",
"state": "FL",
"postal_code": "334033585",
"telephone_number": "561-842-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 US HIGHWAY 1 STE D",
"city": "LAKE PARK",
"state": "FL",
"postal_code": "334033585",
"telephone_number": "561-842-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRINDONGO",
"first_name": "EDU ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2026-03-14",
"certification_date": "2026-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME67264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377790100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "edu.kirindongo.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "415 US Highway 1 Ste D",
"city": "Lake Park",
"state": "FL",
"country_code": "US",
"postal_code": "334033585",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EDU",
"last_name": "KIRINDONGO",
"middle_name": "ANTHONY",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.