Active NPI
Kenneth A Scheppke, MD
- Emergency Medical Services (Emergency Medicine) Physician
- West Palm Beach, FL
National Provider Identifier
1669418398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- ME68624
- Practice address
- 405 Pike Rd
West Palm Beach, FL 33411-3815 - Phone
- (561) 616-7000
- NPI assigned
- Jun 21, 2006
- Last updated
- Jan 19, 2023
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME 68624 | FL | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | ME68624 | FL | Primary |
Addresses
Primary practice location
405 Pike Rd
West Palm Beach, FL 33411-3815
Mailing address
PO Box 2764
Jupiter, FL 33468-2764
Phone (561) 743-9245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 68624 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehs at Lakeside LLC | Current | Accepting new patients | |
| Jupiter Emergency Medical Specialist Inc | Emergency Medicine | Past | Accepting new patients |
| Board of County Commissioners Palm Beach County | Past | Accepting new patients |
Locations
39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477
Interoperability endpoints
- kscheppke274313@mhsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Belle Glade, FL
- NPI 1275018673
-
dba Palm Beach County Fire Rescue
- Ambulance
- West Palm Beach, FL
- NPI 1962412072
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1437184009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1669418398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2764",
"city": "JUPITER",
"state": "FL",
"postal_code": "334682764",
"telephone_number": "561-743-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 PIKE RD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334113815",
"telephone_number": "561-616-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEPPKE",
"first_name": "KENNETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME 68624",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "FL",
"license": "ME68624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.