Individual provider Active NPI

Kimmerle Chrishina Cohen, M.D.

  • Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1902921067
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME1133344 Issued in FL
Practice address
11621 Kew Gardens Ave Ste 101a
Palm Beach Gardens, FL 33410-2853
Phone
(561) 253-3980
Fax
(561) 253-3985
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME1133344 FL Primary

Addresses

Primary practice location

11621 Kew Gardens Ave Ste 101a
Palm Beach Gardens, FL 33410-2853

Mailing address

1450 Centrepark Blvd Ste 165
West Palm Beach, FL 33401-7432
Phone (561) 253-3980

Other identifiers 1

IdentifierTypeStateIssuer
009486900MedicaidFL

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
I20131111001009 FL Practitioner - General Surgery 1355577867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

11621 Kew Gardens Ave
Suite 101a
Palm Beach Gardens, FL 33410-2853
Phone (561) 253-3980

2 Tampa General Cir
FL 3
Tampa, FL 33606-3571
Phone (813) 844-7585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME1133344FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince Jan 1, 2014 Accepting new patients
Tampa General Medical Group Inc CurrentSince Jan 11, 2026 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Jan 11, 2026 Accepting new patients
Tenet Florida Physician Services LLC Surgery CurrentSince Aug 23, 2020 Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

10740 Palm River Rd
Ste 360
Tampa, FL 33619
Phone (813) 660-6400

2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1411 N Flagler Dr
Ste 4900
West Palm Beach, FL 33401
Phone (561) 659-1715

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kcohen354397@direct.tgh.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1902921067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CENTREPARK BLVD STE 165",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017432",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 KEW GARDENS AVE STE 101A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102853",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KIMMERLE",
        "middle_name": "CHRISHINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME1133344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009486900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.