Individual provider Active NPI

Kenneth P Winnard, MD

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1831445824
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME127819 Issued in FL
Practice address
11300 Legacy Ave Unit 140
Palm Beach Gardens, FL 33410-3656
Phone
(561) 327-9393
Fax
(561) 725-0004
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME127819 FL Primary
Internal Medicine Physician 207R00000X 74660 GA

Addresses

Primary practice location

11300 Legacy Ave Unit 140
Palm Beach Gardens, FL 33410-3656

Mailing address

4530 Donald Ross Road
Suite 105
Palm Beach Gardens, FL 33418
Phone (561) 327-9393

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
I20150126000705 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8527382423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127819FLMDInternal Medicine Physician
74660GAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1831445824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 DONALD ROSS ROAD",
            "address_2": "SUITE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33418",
            "telephone_number": "561-327-9393",
            "fax_number": "651-728-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 LEGACY AVE UNIT 140",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103656",
            "telephone_number": "561-327-9393",
            "fax_number": "561-725-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNARD",
        "first_name": "KENNETH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127819",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "74660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.