Individual provider Active NPI

Kliti Tane, M.D.

  • Internal Medicine Physician
  • Sunrise, FL
National Provider Identifier
1699713214
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 99054 Issued in FL
Practice address
1551 Sawgrs Corp Pkwy
Suite110
Sunrise, FL 33323-2828
Phone
(954) 835-0865
NPI assigned
Jun 4, 2006
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 99054 FL Primary

Addresses

Primary practice location

1551 Sawgrs Corp Pkwy
Suite110
Sunrise, FL 33323-2828

Mailing address

1551 Sawgrs Corp Pkwy
Suite110
Sunrise, FL 33323-2828
Phone (954) 835-0865

Other identifiers 1

IdentifierTypeStateIssuer
02685523MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001259 FL Practitioner - Internal Medicine 3476578030 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Miami Inpatient PhysiciansGroup PAC ID 2567429483, 88 clinicians

Practice addresses (Care Compare)

6200 SW 73Rd St
Box 69
Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002390NYMDMarriage & Family Therapist
ME 99054FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
South Miami Inpatient Physicians Internal Medicine CurrentSince Feb 15, 2016 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
First Docs PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients
Eastside Hospitalists Inc Past Accepting new patients
Memorial Hospitalist Inc PastSince Sep 20, 2020 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

9500 NW 58th St
Doral, FL 33178
Phone (786) 595-3600

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1699713214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SAWGRS CORP PKWY",
            "address_2": "SUITE110",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232828",
            "telephone_number": "954-835-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SAWGRS CORP PKWY",
            "address_2": "SUITE110",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232828",
            "telephone_number": "954-835-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANE",
        "first_name": "KLITI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 99054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02685523",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.