Kidney Partners Miami Beach, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

KIDNEY PARTNERS MIAMI BEACH, LLC

Practice address

4302 Alton Rd Ste 760
Miami Beach, FL 33140-2893

Phone

(305) 329-2900

Fax

(786) 534-2079

NPI assigned

Nov 23, 2021

Organization subpart

No

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

Authorized official

Name

Juan Mauricio Cuellar, M.D.NPI 1285617621

Title

Ceo

Phone

(305) 329-2900

Specialties & licenses 1

Addresses

Other names 1

• KidneySPA Miami Beach Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Kidney Partners Miami Beach, LLCCCN 682737

Ownership

Profit

Certified

Jun 10, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Juan M Cuellar, MD

  • Nephrology Physician
  • Miami, FL
  • NPI 1285617621
  NPD (past) Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Alba Maria Gonzalez-Ochoa, MD

  • Nephrology Physician
  • Miami, FL
  • NPI 1376752816

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1831856947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 NW 12TH AVE APT 508",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331282206",
            "telephone_number": "305-329-2900",
            "fax_number": "786-534-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 760",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402893",
            "telephone_number": "305-329-2900",
            "fax_number": "786-534-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY PARTNERS MIAMI BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "MAURICIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-329-2900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidneySPA Miami Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Khabyeh-Hasbani, MD
• Jeffrey Khachatryan
• Michael Khalili, M.D.
• Mohammad Hassan Khazai, M.D.
• Kandace Marisa Kichler, MD
• Kidney Specialty Center, Inc.
• Paul Cecil Kilrain
• Hannah Sungeun Kim, DO
• Joon Hyung Kim, DPM
• David Howard Kinas, DO

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.