KENNETH JIMENEZ MD
NPI 1689433260
Student in an Organized Health Care Education/Training Program in Kissimmee, FL

Q: What is Kenneth Jimenez's NPI number?

The NPI number for Kenneth Jimenez is 1689433260. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Kenneth Jimenez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Jimenez was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 18, 2024PECOS Enrolled

700 W OAK ST, KISSIMMEE, FL 34741(407) 518-2772 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kenneth Jimenez Md NPPES

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

KENNETH JIMENEZ MD (NPI 1689433260) is an individual student in an organized health care education/training program in Kissimmee, Florida and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689433260

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKENNETH JIMENEZCredential: MD

Location Address700 W OAK STKissimmee, FL 34741-4996

Mailing Address720 W Oak St Ste 201Kissimmee, FL 34741-4998 · (407) 518-2772

Phone(407) 518-2772

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 16, 2024

✔ NPI 1689433260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

700 W OAK ST, Kissimmee, FL 34741

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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 (PECOS)

Kenneth Jimenez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

HEIDI S MELONE CRNA

Nurse Anesthetist, Certified Registered