KBS MEDICAL PA
NPI 1710865993
Pain Medicine - Interventional Pain Medicine in Miramar, FL

Active since August 25, 2025
3350 SW 148TH AVE STE 110, MIRAMAR, FL 33027(909) 442-4965 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kbs Medical Pa NPPES

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

KBS MEDICAL PA (NPI 1710865993), doing business as Innerwell, is a healthcare organization registered as an interventional pain medicine in Miramar, Florida and active in the NPI registry since August 2025. The organization maintains 12 additional practice locations and lists Lisa Kennedy, Coo, as its authorized official.

NPPES Registry Identity

NPI1710865993
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameKBS MEDICAL PA
Location Address3350 SW 148TH AVE STE 110Miramar, FL 33027-3237
Mailing Address169 Madison Ave Ste 15824New York, NY 10016-5101 · Fax (844) 440-2410
Organization SubpartNo
Authorized OfficialLisa KennedyCoo · (909) 679-3482
Enumeration DateAugust 25, 2025
Last NPPES UpdateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1710865993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
3350 SW 148TH AVE STE 110, Miramar, FL 33027

Other Names 1

Doing Business AsInnerwell

Secondary Practice Locations 12

Location 15470 Kietzke Ln Ste 300Reno, NV 89511-2099 · Phone (909) 679-3482
Location 229777 Telegraph Rd Ste 4200Southfield, MI 48034-7640 · Phone (909) 679-3482
Location 35201 Eden Ave Ste 300Edina, MN 55436-2315 · Phone (909) 679-3482
Location 4The Schraffts Center Power House, 529 Main Street, Suite 200Charlestown, MA 02129 · Phone (909) 679-3482
Location 53295 W Elder St Ste 209Boise, ID 83705-4772 · Phone (909) 679-3482
Location 6875 N Michigan Ave Fl 31Chicago, IL 60611-1962 · Phone (909) 679-3482
Location 7700 Main St Ste 3Bangor, ME 04401-6800 · Phone (909) 679-3482
Location 820 Foundry St Fl 2Concord, NH 03301-5419 · Phone (909) 679-3482
Location 9388 S Main St Ste 440Akron, OH 44311-4407 · Phone (909) 679-3482
Location 10322 N Shore Dr Bldg 1BPittsburgh, PA 15212-5875 · Phone (909) 679-3482
Location 112 N Central Ave Ste 1800Phoenix, AZ 85004-2139 · Phone (909) 679-3482
Location 12175 Capital Blvd Fl 4Rocky Hill, CT 06067-3914 · Phone (909) 679-3482

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kbs Medical Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kbs Medical PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1245637982
4695 MACARTHUR CT
Newport Beach, CA 92660
(949) 649-4093
✔ PECOS2,301 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kbs Medical PA's NPI number?

The NPI number for Kbs Medical PA is 1710865993. It was assigned to this organization in the NPPES registry on August 25, 2025. The provider is doing business as Innerwell.

Where is Kbs Medical PA located?

Kbs Medical PA is located at 3350 SW 148th Ave Ste 110, Miramar, FL 33027. The listed phone number is (909) 442-4965.

What is Kbs Medical PA's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Kbs Medical PA enrolled in Medicare?

Yes. Kbs Medical PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kbs Medical PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kbs Medical PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kbs Medical PA was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.