Individual provider Active NPI

A K Kaki, MD

  • Internal Medicine Physician
  • Clewiston, FL
National Provider Identifier
1962419531
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME39022 Issued in FL
Practice address
406 S Deane Duff Ave
Clewiston, FL 33440-3818
Phone
(863) 983-5453
Fax
(863) 983-2059
NPI assigned
Aug 3, 2006
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME39022 FL Primary

Addresses

Primary practice location

406 S Deane Duff Ave
Clewiston, FL 33440-3818

Mailing address

406 S Deane Duff Ave
Clewiston, FL 33440-3818
Phone (863) 983-5453

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
I20120309000470 FL Practitioner - Internal Medicine 6002093101 Practice locations: Clewiston, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

406 S Deane Duff Ave
Clewiston, FL 33440-3818
Phone (863) 983-5453

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Karim Kaki Internal Medicine CurrentSince Oct 5, 1981 Accepting new patients

Locations

406 S Deane Duff Ave
Clewiston, FL 33440
Phone (561) 996-8799

Interoperability endpoints

  • Direct secure messaging: akkaki@744.securemail.prognocis.com

Organizations & group practices 1

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 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1962419531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S DEANE DUFF AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403818",
            "telephone_number": "863-983-5453",
            "fax_number": "863-983-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S DEANE DUFF AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403818",
            "telephone_number": "863-983-5453",
            "fax_number": "863-983-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKI",
        "first_name": "A",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME39022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

Verify at the official NPI Registry.