NPIMap

Individual provider Active NPI

David Noah Kenigsberg, MD

  • Clinical Cardiac Electrophysiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1902967144
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME82780 Issued in FL
Practice address
1841 NE 45TH St
Fort Lauderdale, FL 33308-5117
Phone
(954) 678-9531
Fax
(954) 678-9533
NPI assigned
Dec 12, 2006
Last updated
Dec 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME82780 FL Primary

Addresses

Primary practice location

1841 NE 45TH St
Fort Lauderdale, FL 33308-5117

Mailing address

1841 NE 45TH St
Fort Lauderdale, FL 33308-5117
Phone (954) 678-9531

Other practice location 1

350 NW 84th Ave Ste 110
Plantation, FL 33324-1847
Phone (954) 678-9531

Other identifiers 1

IdentifierTypeStateIssuer
277945501MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000441 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8921106519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Heart Rhythm Specialists PLLCGroup PAC ID 6507903523, 9 clinicians
Ekg and Echo Readers IncGroup PAC ID 4082688718, 25 clinicians

Practice addresses (Care Compare)

1841 NE 45TH St
Fort Lauderdale, FL 33308-5117
Phone (954) 678-9531

3476 S University Dr
Davie, FL 33328-2000
Phone (954) 475-4400

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 473-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.63 of 100Reported as individual
Quality
84.79
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82780FLMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ekg & Echo Readers Inc CurrentSince Oct 1, 2012 Accepting new patients
East Fort Lauderdale ASC LLC Current Accepting new patients
Florida Heart Rhythm Specialists PLLC Clinical Cardiac Electrophysiology CurrentSince Aug 15, 2009 Accepting new patients
David N Kenigsberg MD PA Clinical Cardiac Electrophysiology PastSince Jan 5, 2007 Accepting new patients

Locations

2307 W Broward Blvd
Ste 102
Fort Lauderdale, FL 33312
Phone (954) 820-4200

1841 NE 45th St
Ft Lauderdale, FL 33308
Phone (954) 820-4200

1925 NE 45th St
Ft Lauderdale, FL 33308
Phone (386) 263-3020

2825 N State Road 7
Ste 303
Margate, FL 33063
Phone (954) 820-4200

350 NW 84th Ave
Ste 110
Plantation, FL 33324
Phone (954) 820-4200

4101 NW 4th St
Ste 104
Plantation, FL 33317
Phone (954) 587-3805

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

Networks

  • HealthSun Health Plans Network
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: david.kenigsberg.1@18048.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18048/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

Hospital & facility affiliations 8

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1902967144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 NE 45TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085117",
            "telephone_number": "954-678-9531",
            "fax_number": "954-678-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 NE 45TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085117",
            "telephone_number": "954-678-9531",
            "fax_number": "954-678-9533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 NW 84th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333241847",
            "country_code": "US",
            "telephone_number": "954-678-9531",
            "fax_number": "954-678-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENIGSBERG",
        "first_name": "DAVID",
        "middle_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME82780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277945501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.