Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kerry Diane Thek, M.D.

Q: What is the NPI number for Kerry Thek?

The National Provider Identifier (NPI) for Kerry Thek is 1457349417, a Type 1 (individual) record in the CMS NPPES registry.

Pediatric Gastroenterology Physician in Port Orange, FL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457349417

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Registry record

Entity type Individual (Type 1)

Name Dr. Kerry Diane Thek

Credential M.D.

Sex Female

Practice address 1690 Dunlawton Ave Ste 120, Port Orange, FL, 32127

Phone (386) 677-0531

Fax (386) 673-4658

Enumeration date Oct 12, 2005

Last updated in NPPES May 23, 2018

Taxonomy & licenses

2080P0206X Pediatric Gastroenterology Physician Allopathic & Osteopathic Physicians · License E-11212 (AR) Secondary

2080P0206X Pediatric Gastroenterology Physician Allopathic & Osteopathic Physicians · License ME58396 (FL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
064841800	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kerry Thek practice?

The practice location on file with NPPES is in Port Orange, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kerry Thek?

The National Provider Identifier (NPI) for Kerry Thek is 1457349417, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Ammar Hemaidan Gastroenterology Physician · Port Orange, FL NPI 1033149752 Imacs, LLC Gastroenterology Physician · Port Orange, FL NPI 1669779906 Town Center Medical Services, LLC Family Medicine Physician · Port Orange, FL NPI 1427498724 Jeannette Derita Family Nurse Practitioner · Port Orange, FL NPI 1528666575

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-23.