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DR. KATELYN NICOLE KIDD MD
NPI 1720782956
Internal Medicine in Deerfield Beach, FL

Active since March 30, 2023PECOS Enrolled
201 E SAMPLE RD, DEERFIELD BEACH, FL 33064(954) 876-2790 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2026, Mar 30, 2023 (2 updates tracked since 2023).

About Dr. Katelyn Nicole Kidd Md NPPES

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

DR. KATELYN NICOLE KIDD MD (NPI 1720782956) is an individual internal medicine provider in Deerfield Beach, Florida, licensed in Florida (ME182319) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Lauderdale, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720782956
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATELYN NICOLE KIDDCredential: MD
Location Address201 E SAMPLE RDDeerfield Beach, FL 33064-3502
Mailing Address201 E Sample RdDeerfield Beach, FL 33064-3502
Phone(954) 876-2790
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 30, 2023
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1720782956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME182319
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
201 E SAMPLE RD, Deerfield Beach, FL 33064
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Secondary Practice Location 1

Location 11600 S Andrews AveFort Lauderdale, FL 33316-2510 · Phone (954) 712-6356

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katelyn Nicole Kidd Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880168723
PECOS Enrollment IDI20260701003903
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.

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Kidd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medicine Services, LLC.
24 mi
Hospitalist
21644 STATE ROAD 7
Boca Raton, FL 33428
  • Reassigned Medicare billing, Florida enrollment
  • 516 clinicians in this Medicare group
NPI 1508873183 (561) 488-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33064 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

NICHOLE ALEXANDRA MARTINEZ DO
Student in an Organized Health Care Education/Training Program
201 E SAMPLE RD
DEERFIELD BEACH, FL 33064
Broward County (954) 876-2588
AMER KHAN
Student in an Organized Health Care Education/Training Program
201 E SAMPLE RD
DEERFIELD BEACH, FL 33064
Broward County (954) 876-2588
TRACEY E TORDELLA ARNP
Nurse Practitioner
201 E SAMPLE RD
POMPANO BEACH, FL 33064
Broward County (954) 786-5151
BENJAMIN BROUWER MD
Student in an Organized Health Care Education/Training Program
201 E SAMPLE RD
DEERFIELD BEACH, FL 33064
Broward County (954) 941-8300
HANNAH LANDSBERGER
Student in an Organized Health Care Education/Training Program
201 E SAMPLE RD
DEERFIELD BEACH, FL 33064
Broward County (954) 941-8300
SARA LAATU APRN
Nurse Practitioner (Primary Care)
201 E SAMPLE RD
DEERFIELD BEACH, FL 33064
Broward County (954) 941-8300
DR. ERIN JESSICA SIZEMORE
Student in an Organized Health Care Education/Training Program
201 E SAMPLE RD
DEERFIELD BEACH, FL 33064
Broward County (954) 786-6738
MERRY EVANGELINE RAJAN DO
Student in an Organized Health Care Education/Training Program
201 E SAMPLE RD
DEERFIELD BEACH, FL 33064
Broward County (954) 786-6738

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 Katelyn Kidd's NPI number?

The NPI number for Katelyn Kidd is 1720782956. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Katelyn Kidd located?

Katelyn Kidd practices at 201 E Sample Rd, Deerfield Beach, FL 33064. The listed phone number is (954) 876-2790.

What is Katelyn Kidd's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Katelyn Kidd enrolled in Medicare?

Yes. Katelyn Kidd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Kidd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Kidd reassigns Medicare benefits to Florida Hospital Medicine Services, LLC. (Boca Raton, 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 Katelyn Kidd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katelyn Kidd was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.