Individual provider Active NPI

Kenneth Paul Adams, D.O.

  • Ophthalmology Physician
  • Boynton Beach, FL
National Provider Identifier
1851519318
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A-1439-08 Issued in NM
Practice address
7593 W Boynton Beach Blvd
Boynton Beach, FL 33437-6154
Phone
(954) 925-2740
Fax
(954) 212-0494
NPI assigned
Apr 23, 2007
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A-1439-08 NM Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X OS19414 FL
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X T7469 TX
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X DR.0054870 CO

Addresses

Primary practice location

7593 W Boynton Beach Blvd
Boynton Beach, FL 33437-6154

Mailing address

12412 Pristine Court Northeast
Albuquerque, NM 87122-4315
Phone (505) 242-3330

Other identifiers 1

IdentifierTypeStateIssuer
32035837MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080611000754 NM Practitioner - Ophthalmology 5294836490
I20230306002965 FL Practitioner - Ophthalmology 5294836490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgery Associates LLCGroup PAC ID 4688575244, 12 clinicians

Practice addresses (Care Compare)

300 S Park Rd
Suite 300
Hollywood, FL 33021-8353
Phone (954) 925-2740

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-1439-08NMMDOphthalmology Physician
DR.0054870COMDPediatric Ophthalmology and Strabismus Specialist Physician Physician
OS19414FLMDPediatric Ophthalmology and Strabismus Specialist Physician Physician
T7469TXMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgery Associates LLC Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
Eye Surgery Associates LLC CurrentSince Feb 1, 2023 Accepting new patients
Eye Surgery Associates LLC Current Accepting new patients
Specialized Outpatient Surgery Center for Children and Adults Past Accepting new patients
Family Eye Care/Children's Eye Center of New Mexico, P.C. Ophthalmology PastSince Jul 8, 1995 Accepting new patients
Rop Consultants of South Florida. P.a. Ophthalmology Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 280
Boynton Beach, FL 33437
Phone (561) 733-5888

300 S Park Rd
Ste 300
Hollywood, FL 33021
Phone (954) 925-2740

2300 N Commerce Pkwy
Ste 307
Weston, FL 33326
Phone (954) 217-3155

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kenneth.adams.p3@direct.drea.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1851519318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 PRISTINE COURT NORTHEAST",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871224315",
            "telephone_number": "505-242-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376154",
            "telephone_number": "954-925-2740",
            "fax_number": "954-212-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "A-1439-08",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "FL",
            "license": "OS19414",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "TX",
            "license": "T7469",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CO",
            "license": "DR.0054870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32035837",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.