Individual provider Active NPI

Kenneth A Konsker, MD

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
National Provider Identifier
1154309771
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME70734 Issued in FL
Practice address
660 Glades Road
Suite 340
Boca Raton, FL 33431
Phone
(561) 488-1801
Fax
(561) 451-1480
NPI assigned
Jan 4, 2006
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME70734 FL Primary

Addresses

Primary practice location

660 Glades Road
Suite 340
Boca Raton, FL 33431

Mailing address

660 Glades Road
Suite 340
Boca Raton, FL 33431
Phone (561) 488-1801

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
I20081230000555 FL Practitioner - Obstetrics/Gynecology 4284796111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mira Womens Health and MidwiferyGroup PAC ID 5890235519, 10 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 210
Boca Raton, FL 33487-5716
Phone (561) 488-1801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70734FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Medical Group, LLC Obstetrics & Gynecology Current Accepting new patients
Mira Women's Health and Midwifery Gynecology CurrentSince Aug 16, 2024 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 210
Boca Raton, FL 33487
Phone (561) 488-1801

660 Glades Rd
Ste 340
Boca Raton, FL 33431
Phone (561) 392-7508

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

Interoperability endpoints

  • Direct secure messaging: kenneth.konsker.1@31769.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1154309771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLADES ROAD",
            "address_2": "SUITE 340",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-488-1801",
            "fax_number": "561-451-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES ROAD",
            "address_2": "SUITE 340",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-488-1801",
            "fax_number": "561-451-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSKER",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME70734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.