KIDNEY MD LLC
NPI 1013634336
Internal Medicine - Nephrology in Miami, FL
About Kidney Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDNEY MD LLC (NPI 1013634336) is a healthcare organization registered as a nephrology in Miami, Florida and active in the NPI registry since October 2022. The organization lists Saul Gonzalez Montalvo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kidney Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kidney MD LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kidney MD LLC's NPI number?
The NPI number for Kidney MD LLC is 1013634336. It was assigned to this organization in the NPPES registry on October 26, 2022.
Where is Kidney MD LLC located?
Kidney MD LLC is located at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 631-2485.
What is Kidney MD LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Kidney MD LLC enrolled in Medicare?
Yes. Kidney MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kidney MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Kidney MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kidney MD LLC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kidney Md Llc · NPI 1013634336
Nephrology organization in Miami, Florida. Organization record, active in the CMS NPPES registry since October 26, 2022.
## Identity
- **NPI:** 1013634336 (Entity type: Organization)
- **Enumerated:** October 26, 2022
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Saul Gonzalez Montalvo, OWNER
## Practice location
- **Address:** 1611 NW 12TH AVE, Miami, FL 33136-1005
- **Phone:** (305) 631-2485
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013634336) · Data from the CMS NPPES public registry.