DR. PATRICK DESMOND KAVANAGH M.D.
NPI 1104970417
Internal Medicine in Coral Gables, FL

Q: What is Patrick Kavanagh's NPI number?

The NPI number for Patrick Kavanagh is 1104970417. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Patrick Kavanagh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Kavanagh was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since January 23, 2007PECOS Enrolled

1430 S DIXIE HWY STE 304, CORAL GABLES, FL 33146(888) 696-4322 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, Dec 6, 2021, Oct 22, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Dr. Patrick Desmond Kavanagh M.d. NPPES

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

DR. PATRICK DESMOND KAVANAGH M.D. (NPI 1104970417) is an individual internal medicine provider in Coral Gables, Florida, licensed in Florida (ME96603) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104970417

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PATRICK DESMOND KAVANAGHCredential: M.D.

Location Address1430 S DIXIE HWY STE 304Coral Gables, FL 33146-3159

Mailing Address10000 Bo Bajuras, Villa Montana Unit B3Isabela, PR 00662 · (305) 354-0458

Phone(888) 696-4322

Sole ProprietorYes

Enumeration DateJanuary 23, 2007

Last NPPES UpdateFebruary 11, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1104970417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME96603✔ Licensed in VA · 0101264898✔ Licensed in NJ · 25MA09668800

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1430 S DIXIE HWY STE 304, Coral Gables, FL 33146

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Other Identifiers 26

OtherMD-20583HI · Hawaii State License

OtherMD462196PA · Pennsylvania State License

Other078512GA · Georgia State License

Other2019-01534NC · North Carolina State License

Other76171MT · Montana State License

Other0101264898VA · Virginia State License

Other31765NE · Nebraska State License

Other51762SC · South Carolina License

Other61402CT · Connecticut State License

Other036145182IL · Illinois State License

Other10800188UT · Utat State License

Other57668TN · Tennessee

Other7206220WI · Wisconson State License

OtherTL6006WY · Wyoming State License

OtherMD.43069AL · State License

Other308192LA · Louisiana State License

Other04-41271KS · Kansas State License

Other4301115326MI · Michigan State License

OtherMD60947259WA · Washington State License

Other022203PR · Puerto Rico State License

Other2019032474MO · Missouri State License

Other25MA09668800NJ · New Jersey State License

Other35.136642OH · Ohio State License

OtherC154678CA · California State License

OtherDR.0060459CO · Colorado State License

OtherR9508TX · Texas State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick Desmond Kavanagh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

AMANDA L. T. CHAMBERS ARNP

Nurse Practitioner (Family)