Active NPI
Kamar Godder, M.D.
- Pediatric Hematology & Oncology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- ME117214
- Practice address
- 3100 S.W. 62ND Avenue, Suite #121
North East Wing
Miami, FL 33155 - Phone
- (305) 662-8360
- Fax
- (305) 666-6387
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101237615 | VA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 0101237615 | VA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | ME117214 | FL | Primary |
Addresses
Primary practice location
3100 S.W. 62ND Avenue, Suite #121
North East Wing
Miami, FL 33155
Mailing address
5955 Ponce de Leon Blvd.
Coral Gables, FL 33146
Phone (305) 661-1515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010158991 | Medicaid | VA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101237615 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Medical Services, Inc | Current | Accepting new patients | |
| Kidz Medical Services, Inc | Pediatric Hematology-Oncology | Current | Accepting new patients |
| MCV Associated Physicians | Pediatrics | Past | Accepting new patients |
Locations
9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500
5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668
975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200
3100 SW 62nd Ave
Ste 121
Miami, FL 33155
Phone (305) 662-8360
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.
-
- Children's Hospital
- Coral Gables, FL
- NPI 1366408379
Pediatric Hematology-Oncology
-
- Pediatric Nephrology Physician
- South Miami, FL
- NPI 1730637927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1902900335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 PONCE DE LEON BLVD.",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "305-661-1515",
"fax_number": "305-662-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 S.W. 62ND AVENUE, SUITE #121",
"address_2": "NORTH EAST WING",
"city": "MIAMI",
"state": "FL",
"postal_code": "33155",
"telephone_number": "305-662-8360",
"fax_number": "305-666-6387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODDER",
"first_name": "KAMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101237615",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "VA",
"license": "0101237615",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "FL",
"license": "ME117214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010158991",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.