Individual provider Active NPI

David Klos, APRN

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1972682326
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 9377218 Issued in FL
Practice address
1400 NW 12TH Ave Ste 306
Miami, FL 33136-1003
Phone
(305) 243-3000
Fax
(305) 324-5552
NPI assigned
Nov 6, 2006
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 9377218 FL Primary

Addresses

Primary practice location

1400 NW 12TH Ave Ste 306
Miami, FL 33136-1003

Mailing address

1400 NW 12TH Ave Ste 306
Miami, FL 33136-1003
Phone (305) 243-3000

Other identifiers 1

IdentifierTypeStateIssuer
NP0962MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DAVID.KLOS@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150130001699 FL Practitioner - Nurse Practitioner 7810904034 Reassigns benefits to 1 organization
I20251215002131 OR Practitioner - Nurse Practitioner 7810904034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

1400 NW 12TH Ave
5TH Floor/Micu
Miami, FL 33136-1003
Phone (305) 243-5470

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2827SCMDDentist
ARNP 9377218FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University Professional Services CurrentSince Nov 1, 2025 Accepting new patients
University of Miami CurrentSince Aug 13, 2021 Accepting new patients
University of Miami CurrentSince Aug 13, 2021 Accepting new patients
University Professional Services CurrentSince Nov 1, 2025 Accepting new patients
University of Miami PastSince Nov 28, 2021 Accepting new patients
University of Miami PastSince Nov 28, 2021 Accepting new patients
John E. Emmel, MD, PC PastSince Apr 1, 2001 Accepting new patients
Lowcountry Medical Associates Adult Health Past Accepting new patients
Hopehealth Hospice & Palliative Care Past Accepting new patients
Peter R Aldana MD PA Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1400 NW 12th Ave
Ste 306
Miami, FL 33136

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: david.klos@hca4.eclinicaldirectplus.com
  • Direct secure messaging: dklos94561@direct.med.miami.edu

Organizations & group practices 12

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1972682326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-243-3000",
            "fax_number": "305-324-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-243-3000",
            "fax_number": "305-324-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOS",
        "first_name": "DAVID",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9377218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0962",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DAVID.KLOS@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1400 NW 12th Ave Ste 306",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331361003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.