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DR. KANOULD DOLCINE MD
NPI 1366962979
General Practice in Port Saint Lucie, FL

Active since June 24, 2017PECOS EnrolledAccepts Medicare Assignment
540 NW UNIVERSITY BLVD STE 102, PORT SAINT LUCIE, FL 34986(772) 310-1567(772) 673-3866 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2026, Jun 3, 2026, Jul 11, 2022 and 7 more (10 updates tracked since 2017).

About Dr. Kanould Dolcine Md NPPES

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

DR. KANOULD DOLCINE MD (NPI 1366962979) is an individual general practice provider in Port Saint Lucie, Florida, licensed in Florida (ACN1141) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1366962979
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KANOULD DOLCINECredential: MD
Location Address540 NW UNIVERSITY BLVD STE 102Port Saint Lucie, FL 34986-2280
Mailing Address540 Nw University Blvd Ste 102Port Saint Lucie, FL 34986-2280 · (772) 310-1567 · Fax (772) 673-3866
Phone(772) 310-1567
Fax(772) 673-3866
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 24, 2017
Last NPPES UpdateAugust 17, 202610 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1366962979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1141
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
540 NW UNIVERSITY BLVD STE 102, Port Saint Lucie, FL 34986
Open in Google Maps ↗

Secondary Practice Locations 8

Location 115 Calle Dr Basora NMayaguez, PR 00680-4833 · Phone (787) 834-0101
Location 21650 S Congress AvePalm Springs, FL 33461-2175 · Phone (561) 272-7714 · Fax (855) 618-2156
Location 3540 NW University Blvd Ste 102Port Saint Lucie, FL 34986-2280 · Phone (772) 310-1567 · Fax (772) 673-3866
Location 49109 S US Highway 1 Ste 101Port St Lucie, FL 34952-3453 · Phone (561) 406-6080
Location 59199 US HWY 1Port Saint Lucie, FL 34952 · Phone (772) 398-1305
Location 6601 N Congress Ave Ste 404Delray Beach, FL 33445-4639 · Phone (561) 272-7714
Location 7672 SW Prima Vista Blvd Ste 101Port Saint Lucie, FL 34983-1820 · Phone (772) 310-1567
Location 856 Calle Dr Ramon E Betances N Apt 101AMayaguez, PR 00680-6685 · Phone (754) 207-1484

Other Identifiers 2

Medicaid102551600FL
Other08439994Ecfmg (usmle)

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kanould Dolcine Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284992678
PECOS Enrollment IDI20190408000774
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 Kanould Dolcine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vitam Florida Health And Wellness LLC
Same address
General Practice
540 NW UNIVERSITY BLVD STE 102
Port Saint Lucie, FL 34986
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1407597230 (772) 310-1567
Cano Health, LLC
90 mi
Multi-Specialty
680 N UNIVERSITY DRIVE
Pembroke Pines, FL 33024
  • Reassigned Medicare billing, Florida enrollment
  • 153 clinicians in this Medicare group
NPI 1689901688 (954) 538-6868

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services27 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
15 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services11 patients

Other Providers at the Same Location NPPES 2

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

VANESSA MARIUS APRN (FNP-BC)
Nurse Practitioner (Family)
540 NW UNIVERSITY BLVD STE 102
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 310-1567
VITAM FLORIDA HEALTH AND WELLNESS LLC
General Practice
540 NW UNIVERSITY BLVD STE 102
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 310-1567

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 Kanould Dolcine's NPI number?

The NPI number for Kanould Dolcine is 1366962979. It was assigned to this individual provider in the NPPES registry on June 24, 2017.

Where is Kanould Dolcine located?

Kanould Dolcine practices at 540 NW University Blvd Ste 102, Port Saint Lucie, FL 34986. The listed phone number is (772) 310-1567.

What is Kanould Dolcine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kanould Dolcine enrolled in Medicare?

Yes. Kanould Dolcine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kanould Dolcine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanould Dolcine reassigns Medicare benefits to 2 organizations: Vitam Florida Health And Wellness LLC (Port Saint Lucie, FL) and Cano Health, LLC (Pembroke Pines, 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 Kanould Dolcine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kanould Dolcine accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kanould Dolcine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kanould Dolcine was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.