Organization Active NPI

Nandini Kiri MD PA

  • Infectious Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1811180870
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME82594 Issued in FL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
05106OtherFLBCBS FL
26157710OtherFLMEDICAID
P00058990OtherFLRR MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.