Individual provider Active NPI

Kenneth Alan Becker, M.D.

  • Dermatology Physician
  • Clearwater, FL
National Provider Identifier
1275573867
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME164038 Issued in FL
Practice address
1801 N Belcher Rd Ste B
Clearwater, FL 33765-1452
Phone
(727) 935-0503
Fax
(727) 935-0504
NPI assigned
Jun 8, 2006
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2006-01915 NC
Dermatology Physician 207N00000X MD10937 RI
Dermatology Physician 207N00000X ME164038 FL Primary

Addresses

Primary practice location

1801 N Belcher Rd Ste B
Clearwater, FL 33765-1452

Mailing address

PO Box 23329
New York, NY 10087-3329
Phone (410) 873-8500

Other practice location 1

3950 3rd St N Ste A
Saint Petersburg, FL 33703-6123
Phone (727) 821-0612

Other practice location 2

6776 54th Ave N
Saint Petersburg, FL 33709-1405
Phone (727) 935-0510

Other identifiers 4

IdentifierTypeStateIssuer
03-00628OtherRIUNITED HEALTHCARE
0000026434OtherRIBLUE CROSS BLUE SHIELD RI
409753OtherRIBCBSRI-BLUECHIP
109370OtherRITUFTS

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
I20231106001508 FL Practitioner - Dermatology 9638276801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

1801 N Belcher Rd
Suite B
Clearwater, FL 33765-1452
Phone (727) 935-0503

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions510
Removal or shaving of skin growth16
Skin biopsy187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164038FLMDDermatology Physician
MD10937RIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Alliance in Dermatology, PLLC Dermatology CurrentSince Nov 1, 2023 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Jun 1, 2021 Accepting new patients
Rhode Island Dermatology and Laser Medicine Dermatology Past Accepting new patients

Locations

1801 N Belcher Rd
Ste B
Clearwater, FL 33765
Phone (727) 669-3676

870 111th Ave N
Ste 4
Naples, FL 34108
Phone (239) 514-4200

3950 3rd St N
Ste A
St Petersburg, FL 33703
Phone (727) 821-0612

6776 54th Ave N
St Petersburg, FL 33709
Phone (727) 547-8676

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kabecker@aadermaffiliates.emadirect.md
  • Direct secure messaging: kbecker@metrolinadermatology.emadirect.md

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1275573867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329",
            "telephone_number": "410-873-8500",
            "fax_number": "410-883-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N BELCHER RD STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651452",
            "telephone_number": "727-935-0503",
            "fax_number": "727-935-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 3rd St N Ste A",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337036123",
            "country_code": "US",
            "telephone_number": "727-821-0612",
            "fax_number": "727-822-5507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6776 54th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337091405",
            "country_code": "US",
            "telephone_number": "727-935-0510",
            "fax_number": "727-935-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2006-01915",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD10937",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME164038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "03-00628",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD RI",
            "identifier": "0000026434",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI-BLUECHIP",
            "identifier": "409753",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "109370",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.