Active NPI
Lesly Kernisant, MD
- Family Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME97056
- Practice address
- 4690 NW 7TH Ave
Miami, FL 33127-2338 - Phone
- (305) 835-0101
- Fax
- (305) 835-0102
- NPI assigned
- Jul 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME97056 | FL | |
| Family Medicine Physician | 207Q00000X | ME97056 | FL | Primary |
Addresses
Primary practice location
4690 NW 7TH Ave
Miami, FL 33127-2338
Mailing address
PO Box 452169
Sunrise, FL 33345-2169
Other practice location 1
1613 NW 136th Ave
#200
Sunrise, FL 33323-2853
Phone (954) 838-2371
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020097600 | Medicaid | FL | |
| 276992100 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | address | ||
| Other URL | ecliniclworks |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, NY, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Howard University College of Medicine, 2001
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
324 Commons Dr
Suite 37
Birmingham, AL 35209-6962
Phone (855) 479-4217
3514 Mermaid Ave
Brooklyn, NY 11224-1508
Phone (410) 972-7056
888 Veterans Memorial Hwy
Suite 220
Hauppauge, NY 11788-2940
Phone (855) 479-4217
Hospital & facility affiliations
- Baptist Hospital of Miami
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97056 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woundmd TN PLLC | Current | Accepting new patients | |
| Sheridan Emergency Physician Services of South Dade Inc | Emergency Medicine | Current | Accepting new patients |
| Coachflow South Medical Corporation | Family Medicine | Current | Accepting new patients |
| American Wound Care Medicine PLLC | Current | Accepting new patients | |
| Care 4 U Management, Inc | Current | Accepting new patients | |
| Dr Jose a Rivera LLC | Current | Accepting new patients | |
| American Wound Care Al, PLLC | Current | Accepting new patients |
Locations
324 Commons Dr
Ste 37
Birmingham, AL 35209
445 Dexter Ave
Ste 4050
Montgomery, AL 36104
Phone (205) 854-1361
100 W Citrus St
Altamonte Springs, FL 32714
Phone (407) 720-4253
6600 NW 27th Ave
Ste 207
Miami, FL 33147
Phone (305) 835-0101
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
4690 NW 7th Ave
Miami, FL 33127
Phone (305) 758-3348
11555 Medlock Bridge Rd
Ste 100
Johns Creek, GA 30097
Phone (678) 288-5448
3514 Mermaid Ave
Brooklyn, NY 11224
Phone (410) 972-7056
68 S Service Rd
Ste 100
Melville, NY 11747
Phone (516) 316-4689
Interoperability endpoints
- wghlkerni@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Wound Care Registered Nurse
- Birmingham, AL
- NPI 1518732346
-
- Adult Medicine Physician
- Hauppauge, NY
- NPI 1942074653
-
- Wound Care Registered Nurse
- Maitland, FL
- NPI 1649881434
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1346287166
-
- Family Medicine Physician
- Miami Beach, FL
- NPI 1902746357
-
- Community Health Clinic/Center
- Miami, FL
- NPI 1023509817
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1700810066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452169",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4690 NW 7TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331272338",
"telephone_number": "305-835-0101",
"fax_number": "305-835-0102"
}
],
"practiceLocations": [
{
"address_1": "1613 NW 136th Ave",
"address_2": "#200",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333232853",
"country_code": "US",
"telephone_number": "954-838-2371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERNISANT",
"first_name": "LESLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME97056",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME97056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020097600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276992100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "address",
"affiliation": "N",
"address_1": "1613 NW 136th Ave",
"address_2": "#200",
"city": "Sunrise",
"state": "FL",
"country_code": "US",
"postal_code": "333232853",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ecliniclworks",
"affiliation": "N",
"address_1": "4690 NW 7th Ave",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331272338",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.