1. Home
  2. Directory
  3. Maryland
  4. Silver Spring
  5. Specialist
  6. NPI Profile

DR. KENNETH WILLIAM HAUCK M.D.
NPI 1619907789
Specialist in Silver Spring, MD

Active since July 04, 2006PECOS Enrolled
2415 MUSGROVE RD, SUITE 203, SILVER SPRING, MD 20904(301) 989-2300(301) 236-5357 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kenneth William Hauck M.d. NPPES

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

DR. KENNETH WILLIAM HAUCK M.D. (NPI 1619907789) is an individual specialist in Silver Spring, Maryland, licensed in Maryland (D0022815) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619907789
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KENNETH WILLIAM HAUCKCredential: M.D.
Location Address2415 MUSGROVE RD, SUITE 203Silver Spring, MD 20904-5200
Mailing Address2415 Musgrove Rd, Suite 203Silver Spring, MD 20904-5200 · (301) 989-2300 · Fax (301) 236-5357
Phone(301) 989-2300
Fax(301) 236-5357
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619907789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D0022815
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2415 MUSGROVE RD, Silver Spring, MD 20904
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB93472

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth William Hauck M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Hauck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
15 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KADAN C SAU M.D.
Pediatrics
2415 MUSGROVE RD, STE 308
SILVER SPRING, MD 20904
Montgomery County (301) 236-9540
MRS. ROXOLANA LESYA WISE PA
Physician Assistant
2415 MUSGROVE RD, SUITE 203
SILVER SPRING, MD 20904
Montgomery County (301) 989-2300
DR. MELISSA BETH FRIEDLAND M.D.
Family Medicine
2415 MUSGROVE RD, #105
SILVER, MD 20904
Montgomery County (301) 989-3464
DR. LIESL KAYE NOTTINGHAM M.D.
Specialist
2415 MUSGROVE RD, SUITE 203
SILVER SPRING, MD 20904
Montgomery County (301) 989-2300
KAMLESH G. PATEL, D.M.D. P.A.
Dentist (Orthodontics and Dentofacial Orthopedics)
2415 MUSGROVE RD, SUITE 104
SILVER SPRING, MD 20904
Montgomery County (301) 879-9500
MS. STEPHANIE SOUTHARD CRNP
Nurse Practitioner (Family)
2415 MUSGROVE RD, #105
SILVER SPRING, MD 20904
Montgomery County (301) 989-3464
JERRY S. FARBER MD PA
Orthopaedic Surgery (Foot and Ankle Surgery)
2415 MUSGROVE RD, 107
SILVER SPRING, MD 20904
Montgomery County (301) 989-9500
DR. D'AUDRA M COLE DDS
Dentist
2415 MUSGROVE RD
SILVER SPRING, MD 20904
Montgomery County (301) 989-8994

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 Hauck's NPI number?

The NPI number for Kenneth Hauck is 1619907789. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Kenneth Hauck located?

Kenneth Hauck practices at 2415 Musgrove Rd Suite 203, Silver Spring, MD 20904. The listed phone number is (301) 989-2300.

What is Kenneth Hauck's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kenneth Hauck enrolled in Medicare?

Yes. Kenneth Hauck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Hauck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Hauck reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Hauck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Hauck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.