Individual provider Active NPI

Kenneth C Sands, MD

  • Orthopaedic Surgery Physician
  • Melbourne, FL
National Provider Identifier
1669449575
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME110558 Issued in FL
Practice address
709 S Harbor City Blvd
Suite 100
Melbourne, FL 32901-1938
Phone
(321) 725-2225
Fax
(321) 308-0635
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME110558 FL Primary
Orthopaedic Surgery Physician 207X00000X 055884 GA

Addresses

Primary practice location

709 S Harbor City Blvd
Suite 100
Melbourne, FL 32901-1938

Mailing address

240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663
Phone (321) 541-1777

Other practice location 1

240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663
Phone (321) 541-1777

Other identifiers 3

IdentifierTypeStateIssuer
113358500MedicaidFL
365707881AMedicaidGA
14F5ZOtherFLFLORIDA BLUE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823001010 FL Practitioner - Orthopedic Surgery 8628080330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

2225 S Babcock St
Melbourne, FL 32901-5305
Phone (321) 425-4321

240 N Wickham Rd
Suite 102
Melbourne, FL 32935-8663
Phone (321) 541-1777

3680 N Wickham Rd
Melbourne, FL 32935-2327
Phone (321) 255-5500

4270 Minton Rd
West Melbourne, FL 32904-9579
Phone (321) 984-2933

Hospital & facility affiliations

  • Home Health Care of Florida Home health agency, Palm Shores, FL, CCN 103156
  • Amedisys Home Health Home health agency, Celebration, FL, CCN 107302
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Orlando Health Hospital, Orlando, FL, CCN 100006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement82
Knee replacement80
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME110558FLMDOrthopaedic Surgery Physician
055884GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Aug 2, 2025 Accepting new patients
Steward Medical Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Aug 2, 2025 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

2222 S Harbor City Blvd
Ste 420
Melbourne, FL 32901
Phone (321) 768-9914

240 N Wickham Rd
Ste 102
Melbourne, FL 32935
Phone (321) 541-1746

240 N Wickham Rd
Ste 108
Melbourne, FL 32935
Phone (321) 541-1777

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1669449575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358663",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD",
            "address_2": "SUITE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011938",
            "telephone_number": "321-725-2225",
            "fax_number": "321-308-0635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 N Wickham Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329358663",
            "country_code": "US",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDS",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME110558",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "055884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113358500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365707881A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14F5Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.