Kianoosh Kaveh DO PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

OS8229 Issued in FL

Legal business name

KIANOOSH KAVEH DO PA

Practice address

3221 Tamiami TRL
Port Charlotte, FL 33952-8002

Phone

(941) 505-8720

Fax

(941) 505-8747

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Kianoosh Kaveh, DO PA

Title

Owner

Phone

(941) 505-8720

Specialties & licenses 1

Addresses

Other identifiers 15

Other names 1

• COASTAL NEPHROLOGY ASSOCIATES Doing business as

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1649271990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528002",
            "telephone_number": "941-505-8720",
            "fax_number": "941-505-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528002",
            "telephone_number": "941-505-8720",
            "fax_number": "941-505-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIANOOSH KAVEH DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "KAVEH",
        "authorized_official_first_name": "KIANOOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-505-8720",
        "authorized_official_credential": "DO PA"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS8229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2142967000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC PA",
            "identifier": "2148967000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BLUE BELL",
            "identifier": "2985402",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL GRP NUMBER",
            "identifier": "24133",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "471501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMBINED INS",
            "identifier": "651256",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0323474",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH",
            "identifier": "30030181",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N279248",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HIGHMARK",
            "identifier": "001457915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9814293",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265580200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MASS",
            "identifier": "0000ZCY746",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI INS",
            "identifier": "7405063",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS EXCELLUS NY",
            "identifier": "KKA150339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL NEPHROLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Kesner, LMFT
• Shauna Kessler, ARNP
• Sakina Khalidi, M.D.
• Asjad U Khan, MD
• Aman Khurana, DO
• Linda Marie Kilcullen, LMT
• Amanda Maria King, PA
• Nadine King, FNP-C APRN
• Kingswaydentalcare Inc.
• Timothy J Kinsella, MD

• Nephrology Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.