Active NPI
Kirk P Dockendorf
- Anesthesiology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME91506
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132252900 | Medicaid | FL |
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
- Anesthesiology
- Education
- University of South Florida College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Halifax Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parrish Anesthesia Specialist, LLC | Anesthesiology | Current | Accepting new patients |
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | 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
- 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.
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Titusville, FL
- NPI 1780997023
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1275973778
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- Anesthesiology Physician
- Rockledge, FL
- NPI 1205875671
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
-
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.