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KIDZMD, LLC
NPI 1386239663
Pediatrics in Orlando, FL

Active since March 08, 2021CLIA 10D2225536 · Waiver
5979 VINELAND RD STE 111, ORLANDO, FL 32819(407) 492-2338 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2022, Mar 12, 2021 (2 updates tracked since 2021).

About Kidzmd, Llc NPPES

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

KIDZMD, LLC (NPI 1386239663) is a healthcare organization registered as a pediatrics in Orlando, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Christine Chan-ragazzo, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1386239663
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDZMD, LLC
Location Address5979 VINELAND RD STE 111Orlando, FL 32819-7855
Mailing Address7234 Still Pond LnWindermere, FL 34786-0147 · (407) 492-2338
Phone(407) 492-2338
Organization SubpartNo
Authorized OfficialChristine Chan-ragazzoOwner/physician · (407) 492-2338
Enumeration DateMarch 8, 2021
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
✔ NPI 1386239663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5979 VINELAND RD STE 111, Orlando, FL 32819
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Other Identifiers 1

Medicaid280511100FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2225536

Kidzmd LLC · Orlando, FL
Active · expires May 20, 2027
CLIA Number10D2225536
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorChristine Chan-Ragazzo
Laboratory Phone(407) 492-2338
Laboratory LocationKidzmd LLC5979 Vineland Rd Ste 111, Orlando, FL 32819
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kidzmd, LLC's NPI number?

The NPI number for Kidzmd, LLC is 1386239663. It was assigned to this organization in the NPPES registry on March 8, 2021.

Where is Kidzmd, LLC located?

Kidzmd, LLC is located at 5979 Vineland Rd Ste 111, Orlando, FL 32819. The listed phone number is (407) 492-2338.

What is Kidzmd, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Kidzmd, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2225536) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidzmd, LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Kidzmd, LLC 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 Kidzmd, LLC was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.