Active NPI
Adam Nicolas Kinal, M.D.
- Surgery Physician
- Merritt Island, FL
National Provider Identifier
1700180247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME118507
- Practice address
- 137 S Courtenay Pkwy # 775
Merritt Island, FL 32952-4843 - Phone
- (321) 290-6628
- NPI assigned
- Dec 25, 2010
- Last updated
- May 2, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME118507 | FL | Primary |
Addresses
Primary practice location
137 S Courtenay Pkwy # 775
Merritt Island, FL 32952-4843
Mailing address
137 S Courtenay Pkwy # 775
Merritt Island, FL 32952-4843
Phone (321) 290-6628
Other practice location 1
1510 San Pablo St Ste 514
Los Angeles, CA 90033-5324
Phone (323) 442-5876
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME118507 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1700180247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 S COURTENAY PKWY # 775",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329524843",
"telephone_number": "321-290-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 S COURTENAY PKWY # 775",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329524843",
"telephone_number": "321-290-6628"
}
],
"practiceLocations": [
{
"address_1": "1510 San Pablo St Ste 514",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900335324",
"country_code": "US",
"telephone_number": "323-442-5876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINAL",
"first_name": "ADAM",
"middle_name": "NICOLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-25",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME118507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.