Organization Active NPI

Kenneth Strubbe, MD, PA

  • Specialist
  • Hialeah, FL
National Provider Identifier
1326437302
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
75694 Issued in FL
Legal business name
KENNETH STRUBBE, MD, PA
Practice address
7100 W 20TH Ave Ste 314
Hialeah, FL 33016-1811
Phone
(305) 827-5890
Fax
(305) 827-5893
NPI assigned
Jan 14, 2015
Organization subpart
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

Authorized official

Name
Dr. Kenneth Strubbe, MDNPI 1265400675
Title
President
Phone
(305) 495-5873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 75694 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
254123802MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150901000632 FL Part B Supplier - Clinic/Group Practice 2961718200 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2112341Kenneth Strubbe MD PA7100 W 20TH Ave Ste 314, Hialeah, FL 33016Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

Locations

7100 W 20th Ave
Ste 803
Hialeah, FL 33016
Phone (305) 556-3122

7100 W 20th Ave
Ste 314
Hialeah, FL 33016
Phone (305) 557-9300

7100 W 20th Ave
Ste 701
Hialeah Gardens, FL 33016
Phone (305) 557-4016

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1326437302",
    "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": {
        "organization_name": "KENNETH STRUBBE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "STRUBBE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-495-5873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "75694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254123802",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.