DR. KELLY J MEDWID MD
NPI 1639305212
Emergency Medicine in Miami, FL
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
Specialties & Licenses 2
Accepted 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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Medwid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 155 clinicians in this Medicare group
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 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.
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, FLPhysician 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.
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.
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.
MIAMI, FL 33175
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.
Which organization bills Medicare for Kelly Medwid's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Medwid reassigns Medicare benefits to Public Health Trust Of Miami Dade County Florida (Miami, FL). The 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 Kelly Medwid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Medwid accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Kelly Medwid 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.
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.
# Dr. Kelly J Medwid, MD · NPI 1639305212
Emergency Medicine physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since June 9, 2009.
## Identity
- **NPI:** 1639305212 (Entity type: Individual)
- **Enumerated:** June 9, 2009
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** ME123466 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 11750 SW 40TH STREET, Miami, FL 33175-3530
- **Phone:** (305) 921-0961
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Public Health Trust Of Miami Dade County Florida (NPI 1235378001, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2009
## Record status
- **NPPES last updated:** July 14, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1639305212) · Data from the CMS NPPES public registry.