Active NPI
Kingdom Health LLC
- Cardiovascular Disease Physician
- Orlando, FL
National Provider Identifier
1831540202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME97080
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Temple Terrace, FL
- NPI 1659543197
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.