Active NPI
Harvard Podiatry
- Foot & Ankle Surgery Podiatrist
- Hollywood, FL
National Provider Identifier
1376501379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2030
- Legal business name
- HARVARD PODIATRY
- Practice address
- 4430 Sheridan St Ste a
Hollywood, FL 33021-3546 - Phone
- (954) 433-9887
- Fax
- (954) 431-8199
- NPI assigned
- May 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth A Sabacinski, DPM
- Title
- President
- Phone
- (954) 966-7770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2030 | FL | Primary |
Addresses
Primary practice location
4430 Sheridan St Ste a
Hollywood, FL 33021-3546
Mailing address
1150 N 35TH Ave Ste 225
Hollywood, FL 33021-5424
Phone (954) 433-9887
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C14827 | Other | FL | RAILROAD MEDICARE |
| 21806 | Other | FL | BLUE CROSS BLUE SHIELD |
| 6709969 | Other | FL | CIGNA |
| 6200300 | Other | FL | GHI |
Other names 1
- kenneth a sabacinski dpm pa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1150 N 35th Ave
#225
Hollywood, FL 33021
Phone (954) 966-7770
1150 N 35th Ave
Ste 225
Hollywood, FL 33021
Phone (954) 966-7770
601 N Flamingo Rd
Ste 302
Pembroke Pnes, FL 33028
Phone (866) 236-2906
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Hollywood, FL
- NPI 1609214543
-
- Foot Surgery Podiatrist
- Pembroke Pines, FL
- NPI 1730137969
-
- Foot Surgery Podiatrist
- Tamarac, FL
- NPI 1518081595
-
- Podiatrist
- Brandon, FL
- NPI 1104833318
-
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
- NPI 1700868643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1376501379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N 35TH AVE STE 225",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215424",
"telephone_number": "954-433-9887",
"fax_number": "954-431-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 SHERIDAN ST STE A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213546",
"telephone_number": "954-433-9887",
"fax_number": "954-431-8199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARVARD PODIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "SABACINSKI",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-966-7770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C14827",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21806",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6709969",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6200300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "kenneth a sabacinski dpm pa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.