KELLY MUDON
NPI 1699207076
Family Medicine in Miami, FL

Q: What is Kelly Mudon's NPI number?

The NPI number for Kelly Mudon is 1699207076. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Kelly Mudon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mudon was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 03, 2017PECOS EnrolledAccepts Medicare Assignment

10300 SW 216TH ST, MIAMI, FL 33190(786) 293-5502 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Mudon NPPES

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

KELLY MUDON (NPI 1699207076) is an individual family medicine provider in Miami, Florida, licensed in Florida (OS16971) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fruita, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699207076

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKELLY MUDON

Location Address10300 SW 216TH STMiami, FL 33190-3319

Mailing Address1662 L1/2 Rd.Fruita, CO 81521

Phone(786) 293-5502

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 3, 2017

Last NPPES UpdateOctober 16, 2020

NPPES CertifiedOctober 16, 2020

✔ NPI 1699207076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS16971

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10300 SW 216TH ST, Miami, FL 33190

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Secondary Practice Location 1

Location 11662 L1/2 Rd.Fruita, CO 81521 · Phone (970) 270-1292

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Kelly Mudon 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 ID6800212572

PECOS Enrollment IDI20200812003590

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

56 services26 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

24 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33190 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.

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.

DR. KEVIN NYARANGI MOCHENGO MD

Student in an Organized Health Care Education/Training Program

10300 SW 216TH ST
CUTLER BAY, FL 33190

Miami-Dade County (305) 254-4979

MRS. THERESE JOCELYNE BEAUZILE DH

Dental Hygienist

10300 SW 216TH ST
MIAMI, FL 33190

Miami-Dade County (305) 253-5100

KEVIN AMIRI

Psychiatry & Neurology (Psychiatry)

10300 SW 216TH ST
CUTLER BAY, FL 33190

Miami-Dade County (305) 253-5100

LINDA ZAMBRANA MD

Family Medicine

10300 SW 216TH ST
CUTLER BAY, FL 33190

Miami-Dade County (305) 253-5100

DR. TANYA M. ROMAN DO

Pediatrics

10300 SW 216TH ST
CUTLER BAY, FL 33190

Miami-Dade County (305) 253-5100

DIANNA PATRICIA CRIBEIRO

Registered Nurse

10300 SW 216TH ST
CUTLER BAY, FL 33190

Miami-Dade County (305) 253-5100

TELENA MCGHEE LCSW

Social Worker (Clinical)

10300 SW 216TH ST
CUTLER BAY, FL 33190

Miami-Dade County (786) 384-2094

DR. MIGUEL L ALFONSO MD

Psychiatry & Neurology (Psychiatry)

10300 SW 216TH ST
MIAMI, FL 33190

Miami-Dade County (305) 252-4840

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 Mudon's NPI number?

The NPI number for Kelly Mudon is 1699207076. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Kelly Mudon located?

Kelly Mudon practices at 10300 SW 216th St, Miami, FL 33190. The listed phone number is (786) 293-5502.

What is Kelly Mudon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Mudon enrolled in Medicare?

Yes. Kelly Mudon 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.

What insurance does Kelly Mudon accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Kelly Mudon 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 Kelly Mudon was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.