Active NPI
Kenneth Alan Rappaport, D.O.
- Nephrology Physician
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME0043853
- Practice address
- 3401 Pga Blvd Ste 310
Palm Beach Gardens, FL 33410-2824 - Phone
- (561) 296-8042
- Fax
- (561) 766-2159
- NPI assigned
- Mar 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME43853 | FL | |
| Nephrology Physician | 207RN0300X | ME0043853 | FL | Primary |
Addresses
Primary practice location
3401 Pga Blvd Ste 310
Palm Beach Gardens, FL 33410-2824
Mailing address
3401 Pga Blvd Ste 310
Palm Beach Gardens, FL 33410-2824
Phone (561) 296-8042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035109100 | Medicaid | FL |
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
- Nephrology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Pga Blvd
Suite 310
Palm Beach Gardens, FL 33410-2824
Phone (561) 776-8890
Hospital & facility affiliations
- Jupiter Medical Center
- Palm Beach Gardens Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0043853 | FL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremedica Florida LLC | Internal Medicine | Current | Accepting new patients |
| Nelson Lopez MD PA | Past | Accepting new patients |
Locations
3401 Pga Blvd
Ste 310
Palm Beach Gardens, FL 33410
Phone (561) 776-8890
Interoperability endpoints
- krappaport20672@jupitermedicalcenter.direct-ci.com
- https://fhir4.healow.com/fhir/r4/BHJJBA
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Palm Beach Gardens, FL
- NPI 1063149193
-
- Geriatric Medicine (Family Medicine) Physician
- Boynton Beach, FL
- NPI 1417135997
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1447210372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 PGA BLVD STE 310",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102824",
"telephone_number": "561-296-8042",
"fax_number": "561-766-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PGA BLVD STE 310",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102824",
"telephone_number": "561-296-8042",
"fax_number": "561-766-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPPAPORT",
"first_name": "KENNETH",
"middle_name": "ALAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME43853",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME0043853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035109100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.