Active NPI
Kira Brooke Fenton, D.O
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1740579945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS11261
- Practice address
- 4701 N Federal Hwy Ste A21
Fort Lauderdale, FL 33308-4608 - Phone
- (954) 771-0611
- Fax
- (954) 491-3930
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS11261 | FL | Primary |
Addresses
Primary practice location
4701 N Federal Hwy Ste A21
Fort Lauderdale, FL 33308-4608
Mailing address
1272 N Rio Vista Blvd
Ft Lauderdale, FL 33316-1378
Phone (954) 771-0611
Other practice location 1
1200 E Broward Blvd
Fort Lauderdale, FL 33301
Phone (954) 771-0611
Other practice location 2
1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Phone (954) 771-0611
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
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 E Broward Blvd
Fort Lauderdale, FL 33301-2134
Phone (954) 771-0611
Hospital & facility affiliations
- Broward Health Medical Center
- Holy Cross Hospital
- Broward Health Imperial Point
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Prestige Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Nova Southeastern University Inc. | Current | Accepting new patients |
Locations
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
1200 E Broward Blvd
Ft Lauderdale, FL 33301
Phone (954) 463-6408
4701 N Federal Hwy
Ste A21
Ft Lauderdale, FL 33308
Phone (954) 770-0611
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000
Interoperability endpoints
- kira.fenton.1@20660.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Ft Lauderdale, FL
- NPI 1699217281
-
- Optometrist
- Ft. Lauderdale, FL
- NPI 1700924511
-
- Clinical Medical Laboratory
- Ft. Lauderdale, FL
- NPI 1770533390
-
- Optometrist
- Davie, FL
- NPI 1588802169
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1740579945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 N RIO VISTA BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333161378",
"telephone_number": "954-771-0611",
"fax_number": "954-530-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N FEDERAL HWY STE A21",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084608",
"telephone_number": "954-771-0611",
"fax_number": "954-491-3930"
}
],
"practiceLocations": [
{
"address_1": "1200 E Broward Blvd",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "33301",
"country_code": "US",
"telephone_number": "954-771-0611",
"fax_number": "954-491-3930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 S Andrews Ave",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333162510",
"country_code": "US",
"telephone_number": "954-771-0611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENTON",
"first_name": "KIRA",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS11261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.