Active NPI
Mark G Kent, MD
- Surgery Physician
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME138849
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1524804 | Medicaid | TN | |
| KR024 | Other | FL | MEDICARE |
| P01082961 | Other | TN | RR MEDICARE |
| ME138849 | Other | FL | MEDICAL 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.
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
FL, Surgery
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
FL, Surgery
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
Hospital
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 20 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 14 |
| Skin biopsy | 1-10 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35866 | TN | MD | Pharmacist |
| ME138849 | FL | MD | Surgery Physician |
| MD35866 | TN | MD | Surgery Physician |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Surgery | Current | Accepting new patients |
| Villages Regional Hospital Physician Services LLC | Surgery | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.