DR. KENNETH MINKOFF MD
NPI 1033103247
Psychiatry & Neurology - Addiction Psychiatry in Acton, MA

Q: What is Kenneth Minkoff's NPI number?

The NPI number for Kenneth Minkoff is 1033103247. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Q: What is Kenneth Minkoff's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Minkoff was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment

100 POWDERMILL RD # 319, ACTON, MA 01720(978) 502-1729(415) 455-8016 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth Minkoff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH MINKOFF MD (NPI 1033103247) is an individual addiction psychiatry provider in Acton, Massachusetts, licensed in Massachusetts (39497) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1973).

NPPES Registry Identity

NPI1033103247

Entity TypeIndividualMale

Primary Taxonomy2084P0802X

Provider Legal NameDR. KENNETH MINKOFFCredential: MD

Location Address100 POWDERMILL RD # 319Acton, MA 01720-5932

Mailing Address100 Powdermill Rd # 319Acton, MA 01720-5932 · (978) 502-1729 · Fax (415) 455-8016

Phone(978) 502-1729

Fax(415) 455-8016

Sole ProprietorYes

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1973

Enumeration DateSeptember 2, 2005

Last NPPES UpdateNovember 29, 2010

✔ NPI 1033103247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0802X

License✔ Licensed in MA · 39497

Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

100 POWDERMILL RD # 319, Acton, MA 01720

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Other Identifiers 2

Medicare ID-Type UnspecifiedB39155MA

Medicaid2045915MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Minkoff Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678591922

PECOS Enrollment IDI20051105000135

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Minkoff's NPI number?

The NPI number for Kenneth Minkoff is 1033103247. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Kenneth Minkoff located?

Kenneth Minkoff practices at 100 Powdermill Rd # 319, Acton, MA 01720. The listed phone number is (978) 502-1729.

What is Kenneth Minkoff's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Kenneth Minkoff enrolled in Medicare?

Yes. Kenneth Minkoff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Minkoff was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.