Individual provider Active NPI

Mark G Kent, MD

  • Surgery Physician
  • The Villages, FL
National Provider Identifier
1285783274
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME138849 Issued in FL
Practice address
1400 N US Highway 441 Ste 526
The Villages, FL 32159-8984
Phone
(352) 751-8960
Fax
(352) 728-7805
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD35866 TN
Surgery Physician 208600000X ME138849 FL Primary

Addresses

Primary practice location

1400 N US Highway 441 Ste 526
The Villages, FL 32159-8984

Mailing address

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 751-8960

Other identifiers 4

IdentifierTypeStateIssuer
1524804MedicaidTN
KR024OtherFLMEDICARE
P01082961OtherTNRR MEDICARE
ME138849OtherFLMEDICAL LICENSE

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Dentistry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLC 198 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

600 E Dixie Ave
Leesburg, FL 34748-5925

Hospital & facility affiliations

  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)20
Hernia repair (minimally invasive)1-10
Removal of tissue14
Skin biopsy1-10

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
I20190129001029 FL Practitioner - General Surgery 9335318054 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35866TNMDPharmacist
ME138849FLMDSurgery Physician
MD35866TNMDSurgery Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Surgery CurrentSince Feb 7, 2022 Accepting new patients
Villages Regional Hospital Physician Services LLC Surgery CurrentSince Jan 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 7, 2022 Accepting new patients
Surgery Center of Knox County, PC Surgery Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

705 Doctors Ct
Leesburg, FL 34748
Phone (352) 323-5700

601 E Dixie Ave
Ste 801
Leesburg, FL 34748
Phone (352) 323-1405

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

1400 N US Highway 441
Ste 526
The Villages, FL 32159
Phone (352) 751-8525

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1501 N US Highway 441
Ste 1830
The Villages, FL 32159
Phone (352) 391-9200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mkent558313@direct.shands.ufl.edu

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1285783274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-751-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 526",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598984",
            "telephone_number": "352-751-8960",
            "fax_number": "352-728-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD35866",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME138849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524804",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KR024",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01082961",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME138849",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.