Individual provider Active NPI

Kenneth David Hershman, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1144219270
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0056448 Issued in FL
Practice address
11701 Mills Dr
Miami, FL 33183-4824
Phone
(305) 270-2700
NPI assigned
Oct 20, 2005
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0056448 FL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME0056448 FL

Addresses

Primary practice location

11701 Mills Dr
Miami, FL 33183-4824

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
056964000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kenneth.hershman.1@29601.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601001235 FL Practitioner - Internal Medicine 4486636842 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

11701 Mills Dr
Miami, FL 33183-4824
Phone (305) 270-2700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Aug 23, 2022 Accepting new patients
Florida Kidz and Families Medical Center Inc Internal Medicine PastSince Dec 21, 2009 Accepting new patients
Hershman Medical Center, P.a. Internal Medicine PastSince Aug 23, 2022 Accepting new patients

Locations

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

11701 Mills Dr
Miami, FL 33183
Phone (305) 270-2700

13400 SW 120th St
Ste 300A
Miami, FL 33186
Phone (305) 221-7235

13878 SW 56th St
Miami, FL 33175
Phone (305) 459-6451

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Interoperability endpoints

  • Direct secure messaging: kenneth.hershman.1@29601.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1144219270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 MILLS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834824",
            "telephone_number": "305-270-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHMAN",
        "first_name": "KENNETH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0056448",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0056448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056964000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenneth.hershman.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "11701 Mills Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331834824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.