Individual provider Active NPI

Kenneth M Gelman, MD

  • Specialist
  • Hollywood, FL
National Provider Identifier
1902909211
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME49901 Issued in FL
Practice address
9900 Stirling Rd
Suite 300
Hollywood, FL 33024-8065
Phone
(954) 432-2228
Fax
(954) 432-7277
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME49901 FL Primary

Addresses

Primary practice location

9900 Stirling Rd
Suite 300
Hollywood, FL 33024-8065

Mailing address

9900 Stirling Rd
Suite 300
Hollywood, FL 33024-8065
Phone (954) 432-2228

Other identifiers 1

IdentifierTypeStateIssuer
03689OtherFLBLUE CROSS BLUE SHIELD OF FLA.

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME49901FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth M Gelman MD PA Specialist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1902909211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 STIRLING RD",
            "address_2": "SUITE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248065",
            "telephone_number": "954-432-2228",
            "fax_number": "954-432-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 STIRLING RD",
            "address_2": "SUITE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248065",
            "telephone_number": "954-432-2228",
            "fax_number": "954-432-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELMAN",
        "first_name": "KENNETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME49901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLA.",
            "identifier": "03689",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.