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DR. KELLY J MEDWID MD
NPI 1639305212
Emergency Medicine in Miami, FL

Active since June 09, 2009PECOS EnrolledAccepts Medicare Assignment
93.74/100
CMS Quality Rating
11750 SW 40TH STREET, MIAMI, FL 33175(305) 921-0961 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly J Medwid Md NPPES

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

DR. KELLY J MEDWID MD (NPI 1639305212) is an individual emergency medicine provider in Miami, Florida, licensed in Florida (ME123466) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of State University Of New York Downstate Medical Center (2009).

NPPES Registry Identity

NPI1639305212
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KELLY J MEDWIDCredential: MD
Location Address11750 SW 40TH STREETMiami, FL 33175-3530
Mailing Address1613 N. Harrison Parkway, Suite 200, Mailstop Sh-9aSunrise, FL 33323-2896 · (954) 838-2955 · Fax (954) 616-3866
Phone(305) 921-0961
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2009
Enumeration DateJune 9, 2009
Last NPPES UpdateJuly 14, 2015
✔ NPI 1639305212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME123466
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11750 SW 40TH STREET, Miami, FL 33175
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly J Medwid 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 ID9133361637
PECOS Enrollment IDI20150917001725
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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services33 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability76
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

ILENE RAMIREZ CRNA
Nurse Anesthetist, Certified Registered
11750 SW 40TH STREET
MIAMI, FL 33175
Miami-Dade County (305) 223-4123
KAREN M. CLASBY PA-C
Physician Assistant
11750 SW 40TH STREET
MIAMI, FL 33175
Miami-Dade County (305) 223-3000
MELISSA FIGUEROA MASSANET MD
Emergency Medicine
11750 SW 40TH STREET
MIAMI, FL 33175
Miami-Dade County (305) 223-3000
LINDA ALLEN M.D.
Radiology (Diagnostic Radiology)
11750 SW 40TH STREET
MIAMI, FL 33175
Miami-Dade County (305) 665-4614
CARLOS RODRIGUEZ MD
Anesthesiology
11750 SW 40TH STREET
MIAMI, FL 33175
Miami-Dade County (305) 223-3000
MS. CAROLE AVRIL DOURIEZ MD
Emergency Medicine
11750 SW 40TH STREET, KENDALL REGIONAL MEDICAL CENTER
MIAMI, FL 33175
Miami-Dade County (305) 921-0961

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 Kelly Medwid's NPI number?

The NPI number for Kelly Medwid is 1639305212. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Kelly Medwid located?

Kelly Medwid practices at 11750 SW 40th Street, Miami, FL 33175. The listed phone number is (305) 921-0961.

What is Kelly Medwid's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kelly Medwid enrolled in Medicare?

Yes. Kelly Medwid 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.

Is Kelly Medwid affiliated with any hospitals?

According to CMS data, Kelly Medwid is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Kelly Medwid was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.