KAIROS MEDICAL CLINIC, INC.
NPI 1679469480
Family Medicine in Tampa, FL
About Kairos Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAIROS MEDICAL CLINIC, INC. (NPI 1679469480) is a healthcare organization registered as a family medicine in Tampa, Florida and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through September 3, 2027 and lists Homero Marin Salvador, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kairos Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Kairos Medical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10D2329656
Kairos Medical Clinic Inc · Tampa, FLFrequently 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 Kairos Medical Clinic, Inc.'s NPI number?
The NPI number for Kairos Medical Clinic, Inc. is 1679469480. It was assigned to this organization in the NPPES registry on June 17, 2025.
Where is Kairos Medical Clinic, Inc. located?
Kairos Medical Clinic, Inc. is located at 6101 Webb Rd Ste 311, Tampa, FL 33615. The listed phone number is (813) 598-7441.
What is Kairos Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kairos Medical Clinic, Inc. enrolled in Medicare?
Yes. Kairos Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kairos Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kairos Medical Clinic, Inc., in General Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kairos Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2329656) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kairos Medical Clinic, Inc. was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kairos Medical Clinic, Inc. · NPI 1679469480
Family Medicine organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since June 17, 2025.
## Identity
- **NPI:** 1679469480 (Entity type: Organization)
- **Enumerated:** June 17, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Homero Marin Salvador, OWNER
## Practice location
- **Address:** 6101 WEBB RD STE 311, Tampa, FL 33615-2866
- **Phone:** (813) 598-7441 · **Fax:** (656) 789-4155
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679469480) · Data from the CMS NPPES public registry.