Kenneth E Stark MD PA
NPI 1295916476 · Rheumatology Physician · Tavares, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth E Stark MD PA is a Rheumatology Physician organization in Tavares, FL (NPI 1295916476).
Provider details
- NPI number
- 1295916476
- Entity type
- Organization
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Stark, Physician(352) 343-7735
- License
- ME0045588 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-16
- Last updated
- 2007-11-16
Frequently asked questions
- What is Kenneth E Stark MD PA's NPI number?
- Kenneth E Stark MD PA's National Provider Identifier (NPI) is 1295916476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth E Stark MD PA?
- Kenneth E Stark MD PA is classified in the NPPES registry as Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth E Stark MD PA located?
- Kenneth E Stark MD PA's practice location on file with NPPES is 1613 Banning Beach Rd, Tavares, FL 32778-2024.
- What is Kenneth E Stark MD PA's phone number?
- The practice phone number listed in the NPPES registry for Kenneth E Stark MD PA is (352) 343-7735.
- Does Kenneth E Stark MD PA accept Medicare?
- Kenneth E Stark MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenneth E Stark MD PA?
- The authorized official listed on Kenneth E Stark MD PA's NPPES record is Kenneth Stark, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth E Stark MD PA's NPI active?
- Yes — Kenneth E Stark MD PA's NPI (1295916476) is active in the NPPES registry as of the last update on 2007-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.