NPIMap

Individual provider Active NPI

James Kinderknecht, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Naples, FL
National Provider Identifier
1740273325
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME172804 Issued in FL
Practice address
1285 Creekside Blvd East
102
Naples, FL 34109
Phone
(239) 624-1700
Fax
(239) 624-0311
NPI assigned
Aug 29, 2005
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME172804 FL Primary

Addresses

Primary practice location

1285 Creekside Blvd East
102
Naples, FL 34109

Mailing address

1285 Creekside Blvd East
102
Naples, FL 34109
Phone (239) 624-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101122000387 NY Practitioner - Internal Medicine 7214034974 Reassigns benefits to 1 organization
I20250408003567 FL Practitioner - Sports Medicine 7214034974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

1285 Creekside Blvd E
Unit 102
Naples, FL 34109-0595
Phone (239) 624-8250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Apr 1, 2025 Accepting new patients
New York Society for the Relief of the Ruptured and Crippled Maintaini Multi-Specialty CurrentSince Jul 26, 2015 Accepting new patients
Nchmd Inc Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

1100 Immokalee Rd
Ste 100
Naples, FL 34110

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

11190 Health Park Blvd
Bldg 2
Naples, FL 34110
Phone (239) 572-3881

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

535 E 70th St
New York, NY 10021

535 E 70th St
Fl 6
New York, NY 10021
Phone (646) 797-8700

541 E 71st St
New York, NY 10021
Phone (212) 606-1136

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jkinderknecht105834@nchhealthcaresystem.direct-ci.com

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.

Hospital & facility affiliations 11

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1740273325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 CREEKSIDE BLVD EAST",
            "address_2": "102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-624-1700",
            "fax_number": "239-624-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 CREEKSIDE BLVD EAST",
            "address_2": "102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-624-1700",
            "fax_number": "239-624-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDERKNECHT",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME172804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.