Individual provider Active NPI

Marc Kaufman, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1013313196
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 42165 Issued in FL
Practice address
6100 Blue Lagoon Dr
Suite 110
Miami, FL 33126-2079
Phone
(305) 648-1940
Fax
(305) 648-3279
NPI assigned
Nov 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 42165 FL Primary

Addresses

Primary practice location

6100 Blue Lagoon Dr
Suite 110
Miami, FL 33126-2079

Mailing address

6100 Blue Lagoon Dr
Suite 110
Miami, FL 33126-2079
Phone (305) 648-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522004065 FL Practitioner - Internal Medicine 4284932781 Reassigns benefits to 2 organizations
Practice locations: Doral, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 42165FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bett-ER Support & Service Inc PastSince Feb 1, 2024 Accepting new patients
Creatively Clinic LLC PastSince Dec 23, 2024 Accepting new patients
Specialized on-Site Care Management, Inc. Past Accepting new patients

Networks

  • FL HMO C-SNP
  • FL HMO
  • FL HMO D-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJIJDD/Endpoint/FJIJDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCHDD/Endpoint/JJCHDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1013313196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262079",
            "telephone_number": "305-648-1940",
            "fax_number": "305-648-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262079",
            "telephone_number": "305-648-1940",
            "fax_number": "305-648-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 42165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.