Kenneth Jeffrey Saluck, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5538 Issued in FL

Practice address

1250 Grumman PL Ste B
Titusville, FL 32780-7927

Phone

(321) 267-0060

Fax

(321) 269-4240

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• St. Francis Pathways to Healthcare, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Titusville, FL
  • NPI 1639563422
  Medicare reassignment
• Hospice of St. Francis, Inc.

  • Community Based Hospice Care Agency
  • Titusville, FL
  • NPI 1598815839

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1477548964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054610",
            "telephone_number": "321-567-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GRUMMAN PL STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807927",
            "telephone_number": "321-267-0060",
            "fax_number": "321-269-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALUCK",
        "first_name": "KENNETH",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120194000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80348",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "RX203",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Sakuma
• Girgis Saleeb, DMD
• Shaliam Nicole Salgado, M. S. CCC-SLP
• Sami Salib, MD
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC
• Samir Elias MD PA
• Zoe Yanirette Sanabria, RN
• Anton Sanchez, PT, DPT
• Karol Sanchez
• Sand Point Laboratories, LLC

• Family Medicine Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.