DR. ETHAN BEN KASS (DO MBA) – Psychiatry Physician, NPI 1912991811

DR. ETHAN BEN KASS (DO MBA) is a healthcare provider. based in Coral springs, Florida. specializing in PSYCHIATRY. They hold the professional credentials DO MBA. They hold a License No. OS4676 (FL). The NPI Number for DR. ETHAN BEN KASS (DO MBA) is 1912991811

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. ETHAN BEN KASS (DO MBA)
NPI
1912991811
Phone
(954) 796-5010
Address
4923 NW 57TH LN
Enumeration Date
7 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613318800
Graduation Year
1983 (43 years ago)
PAC ID
2466585211
Group Practice PAC ID
2961702089
Professional Enrollment ID
I20100730000994
Address ID
FL334146136WE1035XRDXX406
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

1,954 PSYCHIATRY in FL

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Provider Addresses for DR. ETHAN BEN KASS (DO MBA)

  • 4923, Northwest 57th Lane, Coral Springs, Broward County, Florida, 33067, United States

    CORAL SPRINGS, FL 330672187

    Phone: (954) 796-5010

    Fax: (954) 796-9978

    Type: Mailing

  • Royal Palm Boulevard, Coral Springs, Broward County, Florida, 33065, United States

    STE 103

    CORAL SPRINGS, FL 330655733

    Phone: (954) 796-5010

    Fax: (954) 796-9978

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($89).

Total Amount

$104

General + Research + Ownership

Payments

2

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100730000994IPsychiatryFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes363119$0
View full utilization report →

Insurance plans in this area (ZIP 33067)

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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: 2961702089View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Physician AssistantFL
Clinical Social WorkerFL
P S Y C H I A T R YNY
P S Y C H I A T R YFL
P S Y C H I A T R YFL
Clinical PsychologistNY
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for DR. ETHAN BEN KASS (DO MBA)?
Save NPI 1912991811 if you need a stable reference for DR. ETHAN BEN KASS (DO MBA).
Is DR. ETHAN BEN KASS (DO MBA)'s NPI currently valid?
The extract we use shows DR. ETHAN BEN KASS (DO MBA) as active.
Does DR. ETHAN BEN KASS (DO MBA) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. ETHAN BEN KASS (DO MBA). Clinical services aligned with this taxonomy classification.
What location shows for DR. ETHAN BEN KASS (DO MBA)?
We surface Coral Springs, Florida for DR. ETHAN BEN KASS (DO MBA) based on available NPPES addresses.
How can I contact DR. ETHAN BEN KASS (DO MBA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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