Individual provider Active NPI

Renee Kusler, M.D.

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1902837883
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME137311 Issued in FL
Practice address
2112 S Cypress Bend Dr Apt 506
Pompano Beach, FL 33069-4453
Phone
(313) 420-8401
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.143023 IL
Family Medicine Physician 207Q00000X 43086 CO
Family Medicine Physician 207Q00000X ME137311 FL Primary

Addresses

Primary practice location

2112 S Cypress Bend Dr Apt 506
Pompano Beach, FL 33069-4453

Mailing address

2112 S Cypress Bend Dr Apt 506
Pompano Beach, FL 33069-4453
Phone (313) 420-8401

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
I20181228002476 FL Practitioner - Family Practice 6901069228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43086COMDFamily Medicine Physician
036.143023ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Nov 12, 2018 Accepting new patients
MD Now Medical Centers Inc CurrentSince Nov 12, 2018 Accepting new patients

Locations

415 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 457-4333

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

4001 SW 72nd Ave
Miami, FL 33155
Phone (305) 663-5770

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

Organizations & group practices 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1902837883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 S CYPRESS BEND DR APT 506",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694453",
            "telephone_number": "313-420-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 S CYPRESS BEND DR APT 506",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694453",
            "telephone_number": "313-420-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSLER",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.143023",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43086",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME137311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.