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NPI · 1366420754 · NPPES-sourced

Dr. Kenneth Mack M.D.

ActiveInternal Medicine
NPI Number
1366420754
Type 1 · Individual
Taxonomy Code
207R00000X
Contact
(954) 835-0750
License FL · ME69814
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2006-01-05
Primary practice addressFL · 33323-2828
1551 Sawgrass Corporate Pkwy, Suite 110Sunrise, FL 33323-2828
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About this NPIWhat this record shows.

NPI 1366420754 is registered to Dr. Kenneth Mack M.D., a Internal Medicine practising at 1551 Sawgrass Corporate Pkwy, Suite 110 in Sunrise, Florida. Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties. Dr. Kenneth Mack M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-01-05
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Kenneth Mack M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Kenneth Mack M.D. directly at (954) 835-0750.

Frequently asked

Yes. NPI 1366420754 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (954) 835-0750.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Kenneth Mack M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207R00000X
Last updated2007-07
Enumerated2006-01-05
StatusActive
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