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DR. KENNETH R ROSENTHAL M.D.
NPI 1922002781
Internal Medicine - Gastroenterology in Boca Raton, FL

Active since June 09, 2005PECOS Enrolled
82.63/100
CMS Quality Rating
9970 CENTRAL PARK BLVD N, STE 101, BOCA RATON, FL 33428(561) 488-2700(561) 488-1814 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kenneth R Rosenthal M.d. NPPES

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

DR. KENNETH R ROSENTHAL M.D. (NPI 1922002781) is an individual gastroenterology provider in Boca Raton, Florida, licensed in Florida (ME42231) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922002781
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KENNETH R ROSENTHALCredential: M.D.
Location Address9970 CENTRAL PARK BLVD N, STE 101Boca Raton, FL 33428-2231
Mailing Address5431 N University DrCoral Springs, FL 33067-4639 · (954) 344-2522 · Fax (954) 344-9189
Phone(561) 488-2700
Fax(561) 488-1814
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateApril 7, 2016
✔ NPI 1922002781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME42231
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9970 CENTRAL PARK BLVD N, Boca Raton, FL 33428
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND63131FL
Medicare ID-Type Unspecified94139FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth R Rosenthal 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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services111 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
16 services16 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33428 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier17 claims527 services$2.71 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier17 claims12,411 services$0.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LUISA CUETO MD
Obstetrics & Gynecology
9970 CENTRAL PARK BLVD N, SUITE 403
BOCA RATON, FL 33428
Palm Beach County (561) 479-2600
ALEXANDRIA ANGELIDES MD
Obstetrics & Gynecology (Gynecology)
9970 CENTRAL PARK BLVD N, SUITE 206
BOCA RATON, FL 33428
Palm Beach County (561) 488-3128
KRISTA FARNES MS, LAT, ATC, CES
Specialist/Technologist (Athletic Trainer)
9970 CENTRAL PARK BLVD N, SUITE 300
BOCA RATON, FL 33428
Palm Beach County (561) 488-2200
DR. ALTHEA WATSON M.D.
Internal Medicine
9970 CENTRAL PARK BLVD N
BOCA RATON, FL 33428
Palm Beach County (561) 487-7931
ADVANCED PEDIATRICS OF BOCA
Pediatrics
9970 CENTRAL PARK BLVD N, SUITE 203
BOCA RATON, FL 33428
Palm Beach County (561) 716-7870
ISLAND LIFE MD LLC
Family Medicine
9970 CENTRAL PARK BLVD N, SUITE 102
BOCA RATON, FL 33428
Palm Beach County (561) 430-3599
ROBERT E TOPPER MD
Surgery
9970 CENTRAL PARK BLVD N, 102
BOCA RATON, FL 33428
Palm Beach County (561) 483-4300
SCOTT BERENSON MD
Internal Medicine
9970 CENTRAL PARK BLVD N, SUITE 404
BOCA RATON, FL 33428
Palm Beach County (561) 483-1125

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 Rosenthal's NPI number?

The NPI number for Kenneth Rosenthal is 1922002781. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Kenneth Rosenthal located?

Kenneth Rosenthal practices at 9970 Central Park Blvd N Ste 101, Boca Raton, FL 33428. The listed phone number is (561) 488-2700.

What is Kenneth Rosenthal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kenneth Rosenthal enrolled in Medicare?

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

What insurance does Kenneth Rosenthal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Kenneth Rosenthal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Rosenthal was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.