KIMBERLY BADDOURA MD
NPI 1083176978
Surgery - Plastic and Reconstructive Surgery in Coconut Grove, FL
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 and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Baddoura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
When was this NPI record last updated?
The NPPES record for Kimberly Baddoura was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kimberly Baddoura, MD · NPI 1083176978
Plastic and Reconstructive Surgery physician in Coconut Grove, Florida. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1083176978 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** ME178943 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2734 SW 37TH AVE, Coconut Grove, FL 33133-2728
- **Phone:** (305) 642-4263
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083176978) · Data from the CMS NPPES public registry.