Kenneth Palestrant, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME0056324 Issued in FL

Practice address

1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5554

Phone

(772) 398-1588

Fax

(772) 398-1550

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.palestrant.1@17433.direct.athenahealth.com

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.

• Pinnacle Rehabilitation Group

  • Addiction Medicine (Family Medicine) Physician
  • Port Saint Lucie, FL
  • NPI 1780247064
  Medicare reassignment NPD Authorized official
• Physicians Immediate Care East, LLC

  • Urgent Care Clinic/Center
  • Port St Lucie, FL
  • NPI 1831585108
  Authorized official Same address or phone

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932218518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525554",
            "telephone_number": "772-398-1588",
            "fax_number": "772-398-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525554",
            "telephone_number": "772-398-1588",
            "fax_number": "772-398-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALESTRANT",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME0056324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Relief Solutions, LLC (Advanced Relief Institute)
• Pain Relief Solutions, LLC
• Giselle Palacio Valdes
• Vanessa Paladino
• Miladys Miriam Palau Collazo, MD
• Palm Beach Physical Medicine and Rehabilitation,LLC (Treasure Coast Physical Medicine)
• Palm Garden of Port St Lucie LLC (Palm Garden of Port St Lucie)
• Kandra Lee Palmer, OTA
• Kathryn Marie Palmer
• Pamela Palmer, RPH

• Adult Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.