Active NPI
Kenneth L Bengtson, MD
- Anatomic Pathology & Clinical Pathology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME0072874
- Practice address
- 8150 Chancellor Dr
Suite 110
Orlando, FL 32809-7691 - Phone
- (407) 587-4243
- Fax
- (407) 251-5053
- NPI assigned
- Dec 13, 2005
- Last updated
- Oct 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | ME72874 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME0072874 | FL | Primary |
Addresses
Primary practice location
8150 Chancellor Dr
Suite 110
Orlando, FL 32809-7691
Mailing address
7111 Fairway Dr
Suite 400
Palm Beach Gardens, FL 33418-4204
Phone (561) 712-6265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone 561737773384611
9655 W Boynton Beach Boulevard
Bethesda Pathology Group
Boynton Beach, FL 33472-4421
Phone 561737773384826
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME72874 | FL | MD | Hematology (Pathology) Physician |
| ME0072874 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabino S Cuevas MD PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Kilpatrick Pathology PA | Past | Accepting new patients | |
| Ameripath Hospital Services-Florida LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Ameripath Florida LLC | Past | Accepting new patients | |
| Ameripath Florida LLC | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bethesda Pathology Group
- Anatomic Pathology & Clinical Pathology Physician
- Boynton Beach, FL
- NPI 1376564641
-
dba AmeriPath South Florida
- Clinical Medical Laboratory
- Pompano Beach, FL
- NPI 1952381477
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1962254987
-
- Anatomic Pathology & Clinical Pathology Physician
- Clermont, FL
- NPI 1124091509
-
- Clinical Medical Laboratory
- King, NC
- NPI 1124035316
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1144205188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 FAIRWAY DR",
"address_2": "SUITE 400",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184204",
"telephone_number": "561-712-6265",
"fax_number": "561-712-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8150 CHANCELLOR DR",
"address_2": "SUITE 110",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097691",
"telephone_number": "407-587-4243",
"fax_number": "407-251-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENGTSON",
"first_name": "KENNETH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "FL",
"license": "ME72874",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME0072874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.