Active NPI
Mark E Kutner, MD
- Internal Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME53672
- Practice address
- 10095 N. Kendall Drive #102
Miami, FL 33176-1796 - Phone
- (305) 595-5455
- Fax
- (305) 595-5227
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME53672 | FL | Primary |
Addresses
Primary practice location
10095 N. Kendall Drive #102
Miami, FL 33176-1796
Mailing address
10095 N. Kendall Drive #102
Miami, FL 33176-1796
Phone (305) 595-5455
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mark.kutner@phpllc.eclinicaldirectplus.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070301000250 | FL | Practitioner - Internal Medicine | 5890897474 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10095 N Kendall Dr
Suite 102
Miami, FL 33176-1797
Phone (305) 595-5455
Hospital & facility affiliations
- South Miami Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Healthcare Partners | Current | Accepting new patients | |
| Primehealth Ipa LLC | Internal Medicine | Current | Accepting new patients |
| SDR Clinic and Sleep Disorder Institute LLC | Past | Accepting new patients | |
| Smith Matza & Kutner LLC | Internal Medicine | Past | Accepting new patients |
Locations
14680 SW 8th St
Ste 211
Miami, FL 33184
Phone (305) 253-4340
14680 SW 8th St
Ste 205
Miami, FL 33184
Phone (305) 549-8937
14680 SW 8th St
Ste 210
Miami, FL 33184
Phone (305) 549-8937
10095 SW 88th St
Ste 102
Miami, FL 33176
Phone (305) 595-5455
Interoperability endpoints
- mark.kutner@phpllc.eclinicaldirectplus.com
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.
-
- Multi-Specialty Clinic/Center
- Coral Gables, FL
- NPI 1699725846
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1104875277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10095 N. KENDALL DRIVE #102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761796",
"telephone_number": "305-595-5455",
"fax_number": "305-595-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10095 N. KENDALL DRIVE #102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761796",
"telephone_number": "305-595-5455",
"fax_number": "305-595-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTNER",
"first_name": "MARK",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME53672",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mark.kutner@phpllc.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "10095 N. Kendall Drive #102",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331761796",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.