Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY BADDOURA MD
NPI 1083176978
Surgery - Plastic and Reconstructive Surgery in Coconut Grove, FL

Active since April 01, 2019PECOS Enrolled
2734 SW 37TH AVE, COCONUT GROVE, FL 33133(305) 642-4263 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2026, Aug 24, 2026, Apr 1, 2019 (3 updates tracked since 2019).

About Kimberly Baddoura Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY BADDOURA MD (NPI 1083176978) is an individual plastic and reconstructive surgery provider in Coconut Grove, Florida, licensed in Florida (ME178943) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York University School Of Medicine (2019).

NPPES Registry Identity

NPI1083176978
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameKIMBERLY BADDOURACredential: MD
Location Address2734 SW 37TH AVECoconut Grove, FL 33133-2728
Mailing Address580 Crandon Blvd # 201Key Biscayne, FL 33149-1832
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateOctober 21, 20263 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1083176978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in FL · ME178943
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License ME178943 (FL)
2734 SW 37TH AVE, Coconut Grove, FL 33133

Secondary Practice Locations 2

Location 16050 S Dixie HwySouth Miami, FL 33143-5042 · Phone (305) 642-4263
Location 2580 Crandon Blvd # 201Key Biscayne, FL 33149-1832 · Phone (305) 365-5595

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Baddoura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294294047
PECOS Enrollment IDI20260824000090
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Baddoura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Specialist
2734 SW 37TH AVE
Coconut Grove, FL 33133
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
Specialist
580 CRANDON BLVD, 1ST FLOOR
Key Biscayne, FL 33149
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Clinic/Center (Urgent Care)
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Specialist
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Occupational Therapist
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Occupational Therapist
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Surgery (Surgery of the Hand)
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Plastic Surgery
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Occupational Therapist (Hand)
2734 SW 37TH AVE
COCONUT GROVE, FL 33133

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 Kimberly Baddoura's NPI number?

The NPI number for Kimberly Baddoura is 1083176978. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Kimberly Baddoura located?

Kimberly Baddoura practices at 2734 SW 37th Ave, Coconut Grove, FL 33133. The listed phone number is (305) 642-4263.

What is Kimberly Baddoura's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Kimberly Baddoura enrolled in Medicare?

Yes. Kimberly Baddoura is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Baddoura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Baddoura reassigns Medicare benefits to 2 organizations: Miami Hand PLLC (Coconut Grove, FL) and Miami Breast Center LLC (Key Biscayne, FL). Each 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 Kimberly Baddoura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Baddoura was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.