Active NPI
Kitonga Peter Kiminyo, MD
- Infectious Disease Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME0086064
- Practice address
- 2300 South Congress Ave Ste 100
Boynton Beach, FL 33426 - Phone
- (561) 735-7531
- Fax
- (561) 742-8250
- NPI assigned
- Sep 7, 2006
- Last updated
- Jan 6, 2024
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME0086064 | FL | Primary |
Addresses
Primary practice location
2300 South Congress Ave Ste 100
Boynton Beach, FL 33426
Mailing address
2300 South Congress Ave Ste 100
Boynton Beach, FL 33426
Phone (561) 735-7531
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7779541 | Other | FL | AETNA |
| 78615 | Other | FL | BLUE CROSS |
| 119744400 | Medicaid | FL |
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
- Infectious Disease
- Education
- Howard University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8500
2201 45TH St
West Palm Beach, FL 33407-2047
Phone (561) 842-6141
2300 S Congress Ave
Suite 100
Boynton Beach, FL 33426-7400
Phone (561) 735-4829
3060 Melaleuca LN
Palm Springs, FL 33461-5174
Phone (561) 357-7370
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300
5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7813
Phone (561) 840-0754
9655 W Boynton Beach Blvd
Boynton Beach, FL 33472-4421
Phone (561) 336-7000
Hospital & facility affiliations
- Community Home Health Services
- Bethesda Hospital East
- HCA Florida JFK Hospital
- HCA Florida Palms West Hospital
- Wellington Regional Medical Center
- Jupiter Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.52 of 100
- Quality
- 81.67
- Improvement activities
- 40
- Cost
- 78.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0086064 | FL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Consultants Inc | Infectious Disease | Current | Accepting new patients |
| Kielle Medical Limited Liability Company | Infectious Disease | Current | Accepting new patients |
| Suzanne Y Succop MD PA | Infectious Disease | Past | Accepting new patients |
Locations
2300 S Congress Ave
Ste 100
Boynton Beach, FL 33426
Phone (561) 735-4829
2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Boynton Beach, FL
- NPI 1134217987
-
- Infectious Disease Physician
- Lake Worth, FL
- NPI 1366076515
-
- Infectious Disease Physician
- Boca Raton, FL
- NPI 1740476050
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
dba HCA Florida JFK Hospital
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba HCA Florida Palms West Hospital
- General Acute Care Hospital
- Loxahatchee, FL
- NPI 1528014669
-
dba Community Home Health Services
- Home Health Agency
- Lake Worth, FL
- NPI 1386697936
-
dba Wellington Regional Medical Center
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704499200000",
"number": "1649373101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 SOUTH CONGRESS AVE STE 100",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "33426",
"telephone_number": "561-735-7531",
"fax_number": "561-742-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 SOUTH CONGRESS AVE STE 100",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "33426",
"telephone_number": "561-735-7531",
"fax_number": "561-742-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMINYO",
"first_name": "KITONGA",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME0086064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7779541",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "78615",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119744400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; 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.