Individual provider Active NPI

Kirby Ross Hotchner, D.O.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1851471494
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5843 Issued in FL
Practice address
2700 SW 3Rd Ave
Suite 1E
Miami, FL 33129-2331
Phone
(305) 856-8185
Fax
(305) 856-8959
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5843 FL Primary

Addresses

Primary practice location

2700 SW 3Rd Ave
Suite 1E
Miami, FL 33129-2331

Mailing address

2103 Coral Way
Coral Gables, FL 33145-2601
Phone (305) 856-8185

Other identifiers 1

IdentifierTypeStateIssuer
650993749OtherFLTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151102002526 FL Order and Referring Only - General PracticePractitioner - General Practice 2062681240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS5843FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc Family Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1851471494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452601",
            "telephone_number": "305-856-8185",
            "fax_number": "305-856-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SW 3RD AVE",
            "address_2": "SUITE 1E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292331",
            "telephone_number": "305-856-8185",
            "fax_number": "305-856-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTCHNER",
        "first_name": "KIRBY",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "650993749",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.