Active NPI
Kenneth Alan Becker, M.D.
- Dermatology Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME164038
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-00628 | Other | RI | UNITED HEALTHCARE |
| 0000026434 | Other | RI | BLUE CROSS BLUE SHIELD RI |
| 409753 | Other | RI | BCBSRI-BLUECHIP |
| 109370 | Other | RI | TUFTS |
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
- Dermatology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 N Belcher Rd
Suite B
Clearwater, FL 33765-1452
Phone (727) 935-0503
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 510 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME164038 | FL | MD | Dermatology Physician |
| MD10937 | RI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Alliance in Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| Academic Alliance in Dermatology, PLLC | Dermatology | Past | 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
- kabecker@aadermaffiliates.emadirect.md
- 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.
-
dba Academic Alliance in Dermatology
- Dermatology Physician
- Tampa, FL
- NPI 1538119722
-
- Dermatology Physician
- St Petersburg, FL
- NPI 1184291106
-
- Dermatology Physician
- Providence, RI
- NPI 1427004886
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.