NPIMap

Individual provider Active NPI

Kettyelena Quindemil

  • Anesthesiology Physician
  • Boston, MA
National Provider Identifier
1972925253
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
RN10025381 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 732-8210
Fax
(862) 714-9737
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9274074 FL
Certified Registered Nurse Anesthetist 367500000X ARNP9274074 FL
Anesthesiology Physician 207L00000X RN10025381 MA Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

321 SW 120TH Ave
Miami, FL 33184-1640
Phone (786) 271-4973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, SC, MA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140312000611 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567692650 Reassigns benefits to 4 organizations
I20240103004408 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567692650 Reassigns benefits to 1 organization
I20241101002598 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567692650 Reassigns benefits to 1 organization
I20250621000149 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567692650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

4300 Alton Rd
Miami, FL 33140-2948
Phone (888) 851-4642

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
83.18
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University Hospital Authority CurrentSince Aug 16, 2024 Accepting new patients
Galloway Anesthesia Associates, LLC Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Eastern Maine Medical Center CurrentSince Jan 7, 2024 Accepting new patients
Medical University Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2024 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2019 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Feb 12, 2026 Accepting new patients
Galloway Anesthesia Associates LLC Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Miami Beach Anesthesiology Associates Inc Anesthesiology CurrentSince Feb 17, 2014 Accepting new patients
Brigham & Womens Physicians Organization Inc Anesthesiology CurrentSince Jul 21, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2019 Accepting new patients
Eastern Maine Medical Center CurrentSince Jan 7, 2024 Accepting new patients

Locations

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

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

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

1611 NW 12th Ave
#C300
Miami, FL 33136
Phone (305) 585-7037

7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511

4300 Alton Rd
Ste 1402
Miami Beach, FL 33140
Phone (305) 674-2345

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

9333 SW 152nd St
Fl Or
Palmetto Bay, FL 33157

75 Francis St
Boston, MA 02115

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

489 State St
Bangor, ME 04401
Phone (207) 973-8837

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1972925253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SW 120TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841640",
            "telephone_number": "786-271-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-8210",
            "fax_number": "862-714-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINDEMIL",
        "first_name": "KETTYELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9274074",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9274074",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "RN10025381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.