Active NPI
Kenneth Paul Adams, D.O.
- Ophthalmology Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A-1439-08
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32035837 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 S Park Rd
Suite 300
Hollywood, FL 33021-8353
Phone (954) 925-2740
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-1439-08 | NM | MD | Ophthalmology Physician |
| DR.0054870 | CO | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
| OS19414 | FL | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
| T7469 | TX | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgery Associates LLC | Ophthalmology | Current | Accepting new patients |
| Eye Surgery Associates LLC | Current | 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 | Past | 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
- 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.
-
- Specialist
- Hollywood, FL
- NPI 1861589343
-
- Ophthalmology Physician
- Hollywood, FL
- NPI 1396382719
-
- Specialist
- Pembroke Pines, FL
- NPI 1396942744
-
dba Children's Eyecare of South Florida
- Ophthalmology Physician
- Pembroke Pines, FL
- NPI 1760612048
-
- Ambulatory Surgical Clinic/Center
- Boynton Beach, FL
- NPI 1427558576
-
- Ophthalmology Physician
- Albuquerque, NM
- NPI 1578574828
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
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
- Acupuncture Jiang Inc
- Lisa M Adair, L.M.H.C.
- Adam D. Zuckerman, D.C., P.a (Zuckerman Family Wellness Center)
- Adam J Katz DPM PA (Premier Podiatry Group)
- Jessica Adams, LCSW
- Tyler Adams, ARNP
- Addiction Recovery Medical Services LLC (ARMS of Florida)
- Addiction Rehab Nationwide
- Adel M Sidky MD PA
- Alexandra Galel Adelman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.