KENNETH EVERETT MAH MD
NPI 1992037402
Pediatrics - Pediatric Critical Care Medicine in San Francisco, CA

Q: What is Kenneth Mah's NPI number?

The NPI number for Kenneth Mah is 1992037402. It was assigned to this individual provider in the NPPES registry on February 8, 2010.

Q: What is Kenneth Mah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Mah was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 February 08, 2010PECOS Enrolled

1975 4TH ST, SAN FRANCISCO, CA 94143(415) 514-4079 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2025, Apr 12, 2024, Sep 20, 2021 and 2 more (5 updates tracked since 2016).

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About Kenneth Everett Mah Md NPPES

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

KENNETH EVERETT MAH MD (NPI 1992037402) is an individual pediatric critical care medicine provider in San Francisco, California, licensed in California (A110991) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992037402

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameKENNETH EVERETT MAHCredential: MD

Location Address1975 4TH STSan Francisco, CA 94143-2351

Mailing Address750 Welch RdPalo Alto, CA 94304-1507 · (650) 497-8000

Phone(415) 514-4079

Sole ProprietorNo

Enumeration DateFebruary 8, 2010

Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1992037402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in CA · A110991✔ Licensed in OH · 35.133191

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License A110991 (CA)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License A110991 (CA)

1975 4TH ST, San Francisco, CA 94143

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Everett Mah Md 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.

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.

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