Individual provider Active NPI

Kenneth Strubbe, M.D.

  • Specialist
  • Hialeah, FL
National Provider Identifier
1265400675
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0075694 Issued in FL
Practice address
7100 W 20TH Ave Ste 314
Hialeah, FL 33016-1811
Phone
(305) 827-5890
Fax
(305) 827-5893
NPI assigned
Mar 10, 2006
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0075694 FL Primary

Addresses

Primary practice location

7100 W 20TH Ave Ste 314
Hialeah, FL 33016-1811

Mailing address

7100 W 20TH Ave Ste 314
Hialeah, FL 33016-1811
Phone (305) 827-5890

Other identifiers 1

IdentifierTypeStateIssuer
254123800MedicaidFL

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
I20090313000305 FL Practitioner - Obstetrics/Gynecology 3971509001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7100 W 20TH Ave
Suite 314
Hialeah, FL 33016-1811
Phone (305) 827-5890

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

Practice roles

OrganizationSpecialtyStatusNew patients
S S Marathe MD PA Past Accepting new patients
DRS Grabois Firestone and Lebow PA Specialist Past Accepting new patients

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1265400675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 314",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "305-827-5890",
            "fax_number": "305-827-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 314",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "305-827-5890",
            "fax_number": "305-827-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBBE",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0075694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254123800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.