KENDALL FAMILY MEDICAL CENTER, CORP.
NPI 1376784801
Family Medicine in Miami, FL

NPI Status: Active since March 12, 2009

Contact Information

11760 SW 40TH ST STE 112
MIAMI, FL
ZIP 33175
Phone: (305) 552-6969
Fax: (305) 552-6775

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 10D2025670
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-14-2027

About KENDALL FAMILY MEDICAL CENTER, CORP.

This page provides the complete NPI Profile along with additional information for Kendall Family Medical Center, Corp., a primary care provider established in Miami, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1376784801 assigned on March 2009. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Jorge Acosta (Vice President)

NPI
1376784801
Provider Name
KENDALL FAMILY MEDICAL CENTER, CORP.
Entity Type
Organization
Location Address
11760 SW 40TH ST STE 112 MIAMI, FL 33175
Location Phone
(305) 552-6969
Location Fax
(305) 552-6775
Mailing Address
11760 SW 40TH ST STE 112 MIAMI, FL 33175
Mailing Phone
(305) 552-6969
Mailing Fax
(305) 552-6775
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2009
Last Update Date
03-12-2009
Code Navigator

A primary care provider (PCP) like Kendall Family Medical Center, Corp. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JORGE ACOSTA

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(305) 485-7979

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========OTHER (01)FLTAX IDENTIFICATION NO EIN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2025670
Facility Type
Physician Office
Certificate Effective Date
June 15, 2025
Certificate Expiration Date
June 14, 2027
Laboratory Director
JUAN M. DUQUE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kendall Family Medical Center, Corp. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KENDALL FAMILY MEDICAL CENTER, CORP.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376784801
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146148880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 4 + 8 + 8 + 8 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1376784801 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003912817TOMAS VILLANUEVA D.O. P.A.
Organization
Internal Medicine11760 SW 40TH ST STE 112
MIAMI, FL 33175
(305) 552-6969
1124125935DR. BARNET IRWIN ALPERT D.O.
Individual
Family Medicine11760 SW 40TH ST STE 112
MIAMI, FL 33175
(305) 552-6969
1821182791DR. RUDOLPH EBERWEIN M.D.
Individual
Internal Medicine11760 SW 40TH ST STE 112
MIAMI, FL 33175
(305) 485-7979
1134313349EBERWEIN AND SPAULDING MEDICAL GROUP, INC.
Organization
Internal Medicine11760 SW 40TH ST STE 112
MIAMI, FL 33175
(305) 485-7979
1174849418RUDOLPH EBERWEIN MD PA
Organization
Internal Medicine11760 SW 40TH ST STE 112
MIAMI, FL 33175
(305) 485-7979
1952449654HOSPITALIST OF SOUTH SLORIDA INC
Organization
Internal Medicine11760 SW 40TH ST STE 112
MIAMI, FL 33175
(305) 485-7979
1144423120CRITICAL CARE PARTNERS LLP
Organization
Internal Medicine (Critical Care Medicine)11760 SW 40TH ST STE 112
MIAMI, FL 33175
(305) 552-6969
1336711746 IMARA C OCAMPO QUESADA
Individual
Nurse Practitioner (Family)11760 SW 40TH ST STE 112
MIAMI, FL 33175
(305) 552-6969

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376784801, enumerated in the NPI registry as an "organization" on March 12, 2009

The provider is located at 11760 Sw 40th St Ste 112 Miami, Fl 33175 and the phone number is (305) 552-6969

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D2025670 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 12, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.