Organization Active NPI

Kingdom Health LLC

  • Cardiovascular Disease Physician
  • Orlando, FL
National Provider Identifier
1831540202
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME97080 Issued in FL
Legal business name
KINGDOM HEALTH LLC
Practice address
12816 Roberts Island Rd
Orlando, FL 32832-6432
Phone
(407) 440-3004
Fax
(407) 429-3899
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Syed I Ali, M.D.
Title
Principal / Owner
Phone
(909) 245-8351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME97080 FL Primary

Addresses

Primary practice location

12816 Roberts Island Rd
Orlando, FL 32832-6432

Mailing address

12816 Roberts Island Rd
Orlando, FL 32832-6432
Phone (407) 440-3004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1831540202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12816 ROBERTS ISLAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326432",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 ROBERTS ISLAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326432",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRINCIPAL / OWNER",
        "authorized_official_telephone_number": "909-245-8351",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME97080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.