Individual provider Active NPI

Kenneth Aron Mack, M.D.

  • Internal Medicine Physician
  • Sunrise, FL
National Provider Identifier
1366420754
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69814 Issued in FL
Practice address
1551 Sawgrass Corporate Pkwy
Suite 110
Sunrise, FL 33323-2828
Phone
(954) 835-0750
Fax
(954) 835-7060
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME69814 FL Primary

Addresses

Primary practice location

1551 Sawgrass Corporate Pkwy
Suite 110
Sunrise, FL 33323-2828

Mailing address

1551 Sawgrass Corporate Pkwy
Suite 110
Sunrise, FL 33323-2828
Phone (954) 835-0750

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
I20041116000899 FL Practitioner - Internal Medicine 7618931981 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHA Associates LLCGroup PAC ID 2961839758, 125 clinicians

Practice addresses (Care Compare)

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 724-6204

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69814FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 19, 2014 Accepting new patients
HHA Associates LLC CurrentSince Mar 7, 2023 Accepting new patients
Eastside Hospitalists Inc CurrentSince Aug 15, 2021 Accepting new patients
South Florida Acute Care, LLC Internal Medicine Past Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

1551 Sawgrs Corp Pkwy
Ste 110
Sunrise, FL 33323
Phone (954) 835-0750

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366420754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 110",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232828",
            "telephone_number": "954-835-0750",
            "fax_number": "954-835-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 110",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232828",
            "telephone_number": "954-835-0750",
            "fax_number": "954-835-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "KENNETH",
        "middle_name": "ARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.