Individual provider Active NPI

Stuart A. Kauffman, D.O.

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1124137088
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS21088 Issued in FL
Practice address
855 S Highland Ave
Clearwater, FL 33756-4446
Phone
(727) 219-1833
Fax
(727) 330-2908
NPI assigned
Aug 30, 2006
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009083L PA
Family Medicine Physician 207Q00000X OS21088 FL Primary

Addresses

Primary practice location

855 S Highland Ave
Clearwater, FL 33756-4446

Mailing address

855 S Highland Ave
Clearwater, FL 33756-4446
Phone (727) 219-1833

Other practice location 1

1953 E 3rd St
Williamsport, PA 17701-3901
Phone (570) 323-4072

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
I20240726002358 FL Practitioner - Family PracticePractitioner - Emergency Medicine 9032168091 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
75.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS21088FLMDFamily Medicine Physician
OS009083LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers LLC CurrentSince Jul 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince May 1, 2025 Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Jul 1, 2024 Accepting new patients
Archwell Health Medical of Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Hobdari Family Health LLC Family Medicine CurrentSince Oct 21, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince May 1, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
Bucks County Family Care, P. C. Family Medicine Past Accepting new patients
Interpretive Neurodiagnostics LLC Past Accepting new patients
Pennsylvania Urgent Care Centers, PLLC PastSince Aug 25, 2019 Accepting new patients
Medfast Urgent Care Center, LLC PastSince Aug 1, 2024 Accepting new patients

Locations

9400 Fountain Medical Ct
#B101
Bonita Springs, FL 34135
Phone (239) 260-1033

855 S Highland Ave
Clearwater, FL 33756
Phone (727) 219-1833

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1855 Veterans Park Dr
Ste 201
Naples, FL 34109
Phone (239) 260-1033

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

880 49th St N
St Petersburg, FL 33710
Phone (727) 405-7188

901 22nd Ave S
St Petersburg, FL 33705
Phone (727) 310-0925

1840 S Washington Ave
Titusville, FL 32780
Phone (321) 360-5577

543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3809/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1124137088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564446",
            "telephone_number": "727-219-1833",
            "fax_number": "727-330-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564446",
            "telephone_number": "727-219-1833",
            "fax_number": "727-330-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1953 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013901",
            "country_code": "US",
            "telephone_number": "570-323-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "STUART",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009083L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS21088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.