Active NPI
Regina Marie Kaufmann, M.D.
- Gynecology Physician
- Indian Harbour Beach, FL
National Provider Identifier
1356575252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME60868
- Practice address
- 205 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4873 - Phone
- (321) 777-4243
- NPI assigned
- May 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME60868 | FL | Primary |
Addresses
Primary practice location
205 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4873
Mailing address
205 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4873
Phone (321) 777-4243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 6, 2024 through Aug 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME60868 | FL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1356575252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E EAU GALLIE BLVD",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374873",
"telephone_number": "321-777-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E EAU GALLIE BLVD",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374873",
"telephone_number": "321-777-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMANN",
"first_name": "REGINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-06",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME60868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Harbour Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.