Individual provider Active NPI

Katrina Jeanette Ciraldo, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1902269202
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME152765 Issued in FL
Practice address
1150 NW 14TH St Ste 507
Miami, FL 33136-2116
Phone
(305) 243-4960
Fax
(305) 243-3634
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A164177 CA
Family Medicine Physician 207Q00000X ME152765 FL Primary

Addresses

Primary practice location

1150 NW 14TH St Ste 507
Miami, FL 33136-2116

Mailing address

1150 NW 14TH St Ste 507
Miami, FL 33136-2116
Phone (305) 243-4960

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
I20211217000568 FL Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 1052606316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 243-5302

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164177CAMDFamily Medicine Physician
ME152765FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Sep 11, 2021 Accepting new patients
University of Miami CurrentSince Sep 11, 2021 Accepting new patients
University of Miami Current Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1150 NW 14th St
Ste 507
Miami, FL 33136
Phone (305) 243-4365

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

Interoperability endpoints

  • Direct secure messaging: kciraldo94380@direct.med.miami.edu

Organizations & group practices 3

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1902269202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 507",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362116",
            "telephone_number": "305-243-4960",
            "fax_number": "305-243-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 507",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362116",
            "telephone_number": "305-243-4960",
            "fax_number": "305-243-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRALDO",
        "first_name": "KATRINA",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A164177",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME152765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.