Kerry Thek, M.D.
NPI 1457349417 · Pediatric Gastroenterology Physician · Port Orange, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kerry Thek, M.D. is a Pediatric Gastroenterology Physician provider in Port Orange, FL (NPI 1457349417).
Provider details
- NPI number
- 1457349417
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- E-11212 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2005-10-12
- Last updated
- 2018-05-23
Frequently asked questions
- What is Kerry Thek's NPI number?
- Kerry Thek's National Provider Identifier (NPI) is 1457349417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Thek's specialty?
- Kerry Thek is listed in the NPPES registry with a primary specialty of Pediatric Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Kerry Thek located?
- Kerry Thek's practice location on file with NPPES is 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127-8980.
- What is Kerry Thek's phone number?
- The practice phone number listed in the NPPES registry for Kerry Thek is (386) 677-0531.
- Does Kerry Thek accept Medicare?
- Kerry Thek is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kerry Thek's NPI active?
- Yes — Kerry Thek's NPI (1457349417) is active in the NPPES registry as of the last update on 2018-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.