Active NPI
Mark D. Kaufmann, M.D.
- Dermatology Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME146752
- Practice address
- 3 SW 129TH Ave Ste 100
Pembroke Pines, FL 33027-1778 - Phone
- (866) 400-3376
- Fax
- (954) 217-3222
- NPI assigned
- Jun 1, 2005
- Last updated
- Aug 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME146752 | FL | Primary |
| Dermatology Physician | 207N00000X | BK3751460 | FL | |
| Procedural Dermatology Physician | 207NS0135X | 178676-1 | NY | |
| Procedural Dermatology Physician | 207NS0135X | ME146752 | FL |
Addresses
Primary practice location
3 SW 129TH Ave Ste 100
Pembroke Pines, FL 33027-1778
Mailing address
151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (866) 400-3376
Other practice location 1
4660 Kenmore Ave Ste 1100
Alexandria, VA 22304-1311
Phone (703) 370-0073
Other practice location 2
45155 Research Pl Ste 140
Ashburn, VA 20147-4193
Phone (703) 858-0500
Other practice location 3
3700 Joseph Siewick Dr Ste 302
Fairfax, VA 22033-1739
Phone (703) 648-2488
Other practice location 4
419 Holiday Ct Ste 10
Warrenton, VA 20186-4372
Phone (540) 878-5781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, NV, DC, VA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- New York University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21097 NE 27TH CT
Suite 500
Aventura, FL 33180-1235
Phone (305) 931-6661
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 15 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BK3751460 | FL | MD | Dermatology Physician |
| ME146752 | FL | MD | Procedural Dermatology Physician |
| 178676-1 | NY | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wound Care and Healing PC | Dermatology | Current | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | Accepting new patients |
| Leavitt Medical Associates of Nevada PC | Dermatology | Current | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | Accepting new patients |
| Advanced Dermatology of Virginia Inc | Dermatology | Current | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474
632 Del Prado Blvd N
Ste 201
Cape Coral, FL 33909
Phone (239) 829-7102
7310 College Pkwy
Fort Myers, FL 33907
Phone (239) 561-3763
82245 Overseas Hwy
Islamorada, FL 33036
Phone (305) 664-0700
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
21097 NE 27th Ct
Ste 500
Miami, FL 33180
Phone (305) 931-6661
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
3 SW 129th Ave
Ste 100
Pembroke Pines, FL 33027
Phone (954) 447-3200
1617 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 613-2400
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
209 Palermo Pl
Unit C
Venice, FL 34285
Phone (941) 488-5300
2229 N Commerce Pkwy
Ste 210
Weston, FL 33326
Phone (954) 709-2701
861 Coronado Center Dr
Ste 100
Henderson, NV 89052
Phone (702) 257-7546
2701 N Tenaya Way
Ste 290
Las Vegas, NV 89128
Phone (702) 420-2163
4660 Kenmore Ave
Ste 1100
Alexandria, VA 22304
Phone (703) 370-0073
45155 Research Pl
Ste 140
Ashburn, VA 20147
Phone (703) 858-0500
3700 Joseph Siewick Dr
Ste 302
Fairfax, VA 22033
Phone (703) 648-2488
419 Holiday Ct
Ste 10
Warrenton, VA 20186
Phone (540) 878-5781
419 Holiday Ct
Ste 30
Warrenton, VA 20186
Phone (540) 878-5781
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
dba Advanced Dermatology and Cosmetic Surq
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- Sebastian, FL
- NPI 1083872535
-
- Dermatology Physician
- Henderson, NV
- NPI 1124436480
-
- Dermatology Physician
- Livermore, CA
- NPI 1053128553
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1740671767
-
dba Advanced Dermatology And Cosmetic Surgery
- Dermatology Physician
- Heathrow, FL
- NPI 1528097284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1386648616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SOUTHHALL LN STE 300",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517172",
"telephone_number": "866-400-3376",
"fax_number": "407-650-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SW 129TH AVE STE 100",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271778",
"telephone_number": "866-400-3376",
"fax_number": "954-217-3222"
}
],
"practiceLocations": [
{
"address_1": "4660 Kenmore Ave Ste 1100",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223041311",
"country_code": "US",
"telephone_number": "703-370-0073",
"fax_number": "703-370-2002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45155 Research Pl Ste 140",
"address_purpose": "LOCATION",
"city": "Ashburn",
"state": "VA",
"postal_code": "201474193",
"country_code": "US",
"telephone_number": "703-858-0500",
"fax_number": "703-858-5155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 Joseph Siewick Dr Ste 302",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331739",
"country_code": "US",
"telephone_number": "703-648-2488",
"fax_number": "703-648-2498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "419 Holiday Ct Ste 10",
"address_purpose": "LOCATION",
"city": "Warrenton",
"state": "VA",
"postal_code": "201864372",
"country_code": "US",
"telephone_number": "540-878-5781",
"fax_number": "540-878-5787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUFMANN",
"first_name": "MARK",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME146752",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "BK3751460",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "178676-1",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME146752",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.