Individual provider Active NPI

Kirk P Dockendorf

  • Anesthesiology Physician
  • Gainesville, FL
National Provider Identifier
1801813852
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME91506 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 273-8610
Fax
(352) 273-8612
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME91506 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

3740 Brennan Dr
Melbourne, FL 32934-8341
Phone (321) 242-9369

Other practice location 1

110 Longwood Ave
Rockledge, FL 32955-2828
Phone (321) 637-2616

Other identifiers 1

IdentifierTypeStateIssuer
132252900MedicaidFL

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
I20060810000212 FL Practitioner - Anesthesiology 3971506080 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

303 N Clyde Morris Blvd
Halifax Health
Daytona Beach, FL 32114-2709
Phone (386) 425-4000

9330 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 834-4000

Hospital & facility affiliations

  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parrish Anesthesia Specialist, LLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Oct 27, 2025 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 21, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 21, 2020 Accepting new patients
Central Brevard Anesthesiologists, PA Anesthesiology Past Accepting new patients

Locations

1890 Lpga Blvd
Ste 200
Daytona Beach, FL 32117
Phone (386) 274-3232

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: kdockendorf510387@direct.shands.ufl.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1801813852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 BRENNAN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348341",
            "telephone_number": "321-242-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-273-8610",
            "fax_number": "352-273-8612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329552828",
            "country_code": "US",
            "telephone_number": "321-637-2616",
            "fax_number": "321-637-2986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKENDORF",
        "first_name": "KIRK",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME91506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132252900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.