DR. KENNETH C. FORTGANG (M.D.) – Diagnostic Radiology Physician, NPI 1366426066

DR. KENNETH C. FORTGANG (M.D.) is a healthcare provider. based in Highland beach, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME43615 (FL). The NPI Number for DR. KENNETH C. FORTGANG (M.D.) is 1366426066

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH C. FORTGANG (M.D.)
NPI
1366426066
Phone
(561) 756-4610
Address
1125 BEL AIR DRIVE
Enumeration Date
6 December 2005
Last Update Date
3 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5614966935
Graduation Year
1979 (47 years ago)
PAC ID
6800960006
Group Practice PAC ID
0547174120
Professional Enrollment ID
I20080806000545
Address ID
FL334344064BO8142XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for DR. KENNETH C. FORTGANG (M.D.)

  • 1125 BEL AIR DRIVE

    HIGHLAND BEACH, FL 33487

    Phone: (561) 756-4610

    Fax: (561) 274-6770

    Type: Mailing

  • 1125 BEL AIR DR

    HIGHLAND BEACH, FL 334874207

    Phone: (561) 756-4610

    Fax: (561) 274-6770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080806000545IDiagnostic RadiologyFLTBD
I20241125002621IDiagnostic RadiologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71046X-ray of chest, 2 views8282$0
72148Mri scan of lower spinal canal without contrast3130$0
73721Mri scan of leg joint without contrast1715$0
View full utilization report →

Insurance plans in this area (ZIP 33487)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547174120View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyNY
Diagnostic RadiologyNY
Diagnostic RadiologyME
Diagnostic RadiologyFL
-MI
Diagnostic Radiology, Cardiac SurgeryFL

Reviews

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Frequently asked questions

How is DR. KENNETH C. FORTGANG (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KENNETH C. FORTGANG (M.D.) with NPI 1366426066.
Is DR. KENNETH C. FORTGANG (M.D.) listed as active for patients and plans?
The listing shows DR. KENNETH C. FORTGANG (M.D.) as active in the NPI system.
What is DR. KENNETH C. FORTGANG (M.D.) best known for clinically?
Directory data describes DR. KENNETH C. FORTGANG (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. KENNETH C. FORTGANG (M.D.) list a practice location?
Patients near Highland Beach, Florida may find DR. KENNETH C. FORTGANG (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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