Active NPI
Nandini Kiri MD PA
- Infectious Disease Physician
- Port Charlotte, FL
National Provider Identifier
1811180870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME82594
- Legal business name
- NANDINI KIRI MD PA
- Practice address
- 3390 Tamiami TRL
Suite 101
Port Charlotte, FL 33952-8157 - Phone
- (941) 883-5454
- Fax
- (941) 883-5457
- NPI assigned
- Aug 23, 2007
- Last updated
- Dec 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nandini Kiri, MD PA
- Title
- Physician
- Phone
- (941) 883-5454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME82594 | FL | Primary |
Addresses
Primary practice location
3390 Tamiami TRL
Suite 101
Port Charlotte, FL 33952-8157
Mailing address
PO Box 495237
Port Charlotte, FL 33949-5237
Phone (941) 883-5454
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05106 | Other | FL | BCBS FL |
| 26157710 | Other | FL | MEDICAID |
| P00058990 | Other | FL | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
3390 Tamiami Trl
Ste 101
Pt Charlotte, FL 33952
Phone (941) 242-1929
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Punta Gorda, FL
- NPI 1992040943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323216000000",
"number": "1811180870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 495237",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339495237",
"telephone_number": "941-883-5454",
"fax_number": "941-883-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 TAMIAMI TRL",
"address_2": "SUITE 101",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528157",
"telephone_number": "941-883-5454",
"fax_number": "941-883-5457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANDINI KIRI MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-23",
"last_updated": "2011-12-07",
"status": "A",
"authorized_official_last_name": "KIRI",
"authorized_official_first_name": "NANDINI",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "941-883-5454",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PA"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME82594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "05106",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "26157710",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00058990",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.