Kenneth Andrew Larson, M. D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME088693 Issued in FL

Practice address

5511 S Congress Ave
Suite 105
Atlantis, FL 33462-1140

Phone

(561) 964-1635

Fax

(561) 964-1636

NPI assigned

Oct 16, 2006

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 1

Electronic endpoints 1

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

Specialty

General Surgery

Education

Perelman School of Med at the University of Pennsylvania, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
• HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: kenneth.larson@hca4.eclinicaldirectplus.com

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.

• Palm Beach General Surgery LLC

  • Surgery Physician
  • Loxahatchee, FL
  • NPI 1235326760
  Medicare reassignment Care Compare group NPD
• John D. Corbitt, Jr. MD, Inc

  • Specialist
  • Lake Worth, FL
  • NPI 1376650929
  NPD (past)
• Palm Beach General Surgery LLC

  • Surgery Physician
  • Atlantis, FL
  • NPI 1710040266
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation
• Palms West Hospital Limited Partnership

  dba HCA Florida Palms West Hospital

  • General Acute Care Hospital
  • Loxahatchee, FL
  • NPI 1528014669
  Care Compare affiliation

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1659451441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 S CONGRESS AVE",
            "address_2": "SUITE 105",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621140",
            "telephone_number": "561-964-1635",
            "fax_number": "561-964-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 S CONGRESS AVE",
            "address_2": "SUITE 105",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621140",
            "telephone_number": "561-964-1635",
            "fax_number": "561-964-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KENNETH",
        "middle_name": "ANDREW",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME088693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270211800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KENNETH.LARSON@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5511 S Congress Ave",
            "address_2": "SUITE 105",
            "city": "Atlantis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334621140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jose Rafael Labault-Santiago, M.D.
• Madison Bridget Laezzo
• Kevin Scott Landau, MD
• Christopher Chad Lankford, M.D.
• Vladimir Laroche, MD
• Gary Philip Laux, D.O
• Rebecca Le
• James Casey Leclair, PHARM D.
• Barbara E Lee-Grasso
• June Lee, MD

• Surgery Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.