Active NPI
Mark McKenney, MD
- Trauma Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- ME57722
- Practice address
- 11760 Bird Rd
Suite 722
Miami, FL 33175-3582 - Phone
- (305) 559-1883
- Fax
- (305) 559-1887
- NPI assigned
- Dec 18, 2006
- 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 |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | ME57722 | FL | |
| Surgery Physician | 208600000X | ME57722 | FL | |
| Trauma Surgery Physician | 2086S0127X | ME57722 | FL | Primary |
Addresses
Primary practice location
11760 Bird Rd
Suite 722
Miami, FL 33175-3582
Mailing address
11760 Bird Rd
Suite 722
Miami, FL 33175-3582
Phone (305) 559-1883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3707504-00 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MARK.MCKENNEY@hca4.eclinicaldirectplus.com |
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
- General Surgery
- Education
- University of Michigan Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 559-1334
11750 SW 40 St
Miami, FL 33175-3530
Phone (305) 223-3000
2402 Frist Blvd
Fort Pierce, FL 34950-4838
Phone (772) 462-3939
Hospital & facility affiliations
- HCA Florida Kendall Hospital
- Lower Keys Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME57722 | FL | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawnwood Healthcare Specialists LLC | Current | Accepting new patients | |
| Thoracic & Cardiovascular Surgeons LLC | Past | Accepting new patients | |
| University of Miami | Past | Accepting new patients | |
| Access Medical Group of Florida City, LLC. | Past | Accepting new patients |
Locations
2402 Frist Blvd
Ste 204
Fort Pierce, FL 34950
Phone (772) 466-1113
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
11760 SW 40th St
Ste 301
Miami, FL 33175
Phone (305) 226-2020
11760 SW 40th St
Ste 722
Miami, FL 33175
Phone (305) 559-1883
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Fort Pierce, FL
- NPI 1649437765
-
- Family Medicine Physician
- Florida City, FL
- NPI 1205118874
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Atlantis, FL
- NPI 1649212416
-
- Clinical Medical Laboratory
- Miami, FL
- NPI 1932150752
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
-
- General Acute Care Hospital
- Key West, FL
- NPI 1619922077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1437212099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 BIRD RD",
"address_2": "SUITE 722",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753582",
"telephone_number": "305-559-1883",
"fax_number": "305-559-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 BIRD RD",
"address_2": "SUITE 722",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753582",
"telephone_number": "305-559-1883",
"fax_number": "305-559-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNEY",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME57722",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME57722",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME57722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3707504-00",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MARK.MCKENNEY@hca4.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "11760 Bird Rd",
"address_2": "SUITE 722",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331753582",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.