Organization Active NPI

Kenneth Allen Kasten MD PA

  • Ophthalmology Physician
  • Boynton Beach, FL
National Provider Identifier
1487726345
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME48537 Issued in FL
Legal business name
KENNETH ALLEN KASTEN MD PA
Practice address
10301 Hagen Ranch Road
Suite 500
Boynton Beach, FL 33437-7861
Phone
(561) 737-4040
Fax
(561) 369-7104
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Dr. Kenneth Allen Kasten, M.D.NPI 1457423378
Title
President
Phone
(561) 737-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME48537 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Road
Suite 500
Boynton Beach, FL 33437-7861

Mailing address

10301 Hagen Ranch Road
Suite 500
Boynton Beach, FL 33437-3781
Phone (561) 737-4040

Other names 1

  • South Palm Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051205000509 FL Part B Supplier - Clinic/Group Practice 8729008826 Receives reassigned benefits from 3 practitioners
Practice locations: Boynton Beach, FL
O20100930039858 FL DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 8729008826 Practice locations: Boynton Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2036762South Palm Eye Associates10301 Hagen Ranch Rd Ste 500, Boynton Beach, FL 33437Certificate of waiverFeb 12, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kenneth Allen Kasten MD PA10301 Hagen Ranch Rd, Boynton Beach, FL 33437-3781(561) 369-3937 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Locations

9250 Glades Rd
Ste 105
Boca Raton, FL 33434
Phone (561) 479-3884

10301 Hagen Ranch Rd
Ste 500
Boynton Beach, FL 33437
Phone (561) 737-4040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1487726345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH ROAD",
            "address_2": "SUITE 500",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373781",
            "telephone_number": "561-737-4040",
            "fax_number": "561-369-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH ROAD",
            "address_2": "SUITE 500",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334377861",
            "telephone_number": "561-737-4040",
            "fax_number": "561-369-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH ALLEN KASTEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "KASTEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-737-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME48537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Palm Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Palm Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.