KIELLE MEDICAL LIMITED LIABILITY COMPANY
NPI 1366076515
Internal Medicine - Infectious Disease in Lake Worth, FL

Active since February 26, 2020
5988 DUCKWEED RD, LAKE WORTH, FL 33449(561) 767-0903 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kielle Medical Limited Liability Company NPPES

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

KIELLE MEDICAL LIMITED LIABILITY COMPANY (NPI 1366076515) is a healthcare organization registered as an infectious disease in Lake Worth, Florida and active in the NPI registry since February 2020. The organization lists Kitonga Kiminyo, Employee, as its authorized official.

NPPES Registry Identity

NPI1366076515
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameKIELLE MEDICAL LIMITED LIABILITY COMPANY
Location Address5988 DUCKWEED RDLake Worth, FL 33449-5810
Mailing Address5988 Duckweed RdLake Worth, FL 33449-5810 · (561) 767-0903
Organization SubpartNo
Authorized OfficialKitonga KiminyoEmployee · (561) 767-0903
Enumeration DateFebruary 26, 2020
✔ NPI 1366076515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
5988 DUCKWEED RD, Lake Worth, FL 33449

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kielle Medical Limited Liability Company 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 Kielle Medical Limited Liability Company, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1649373101
2300 SOUTH CONGRESS AVE STE 100
Boynton Beach, FL 33426
(561) 735-7531
✔ PECOS✔ Accepts Medicare11 mi

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 Kielle Medical Limited Liability Company's NPI number?

The NPI number for Kielle Medical Limited Liability Company is 1366076515. It was assigned to this organization in the NPPES registry on February 26, 2020.

Where is Kielle Medical Limited Liability Company located?

Kielle Medical Limited Liability Company is located at 5988 Duckweed Rd, Lake Worth, FL 33449. The listed phone number is (561) 767-0903.

What is Kielle Medical Limited Liability Company's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Kielle Medical Limited Liability Company enrolled in Medicare?

Yes. Kielle Medical Limited Liability Company is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kielle Medical Limited Liability Company?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Kielle Medical Limited Liability Company. 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 Kielle Medical Limited Liability Company was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.