Individual provider Active NPI

Mark E Kutner, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1104875277
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME53672 Issued in FL
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

Updated by the provider on Oct 20, 2022

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070301000250 FL Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 5890897474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease, Sleep Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primehealth Physicians LLCGroup PAC ID 0042456907, 34 clinicians

Practice addresses (Care Compare)

10095 N Kendall Dr
Suite 102
Miami, FL 33176-1797
Phone (305) 595-5455

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Value Healthcare Partners CurrentSince Mar 9, 2025 Accepting new patients
Primehealth Ipa LLC Internal Medicine CurrentSince Jan 10, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.