Individual provider Active NPI

Mark D. Kaufmann, M.D.

  • Dermatology Physician
  • Pembroke Pines, FL
National Provider Identifier
1386648616
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME146752 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040308000009 NY Practitioner - Dermatology 8820986318 Practice locations: New York, NY
I20200821002420 FL Practitioner - Dermatology 8820986318 Reassigns benefits to 1 organization
I20250616001096 NV Practitioner - Dermatology 8820986318 Reassigns benefits to 1 organization
I20260203000047 DC Practitioner - Dermatology 8820986318 Reassigns benefits to 1 organization
I20260211001028 VA Practitioner - Dermatology 8820986318 Reassigns benefits to 1 organization
I20260515001490 PA Practitioner - Dermatology 8820986318 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of skin lesions15
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BK3751460FLMDDermatology Physician
ME146752FLMDProcedural Dermatology Physician
178676-1NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Care and Healing PC Dermatology CurrentSince Jan 2, 2025 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Sep 1, 2020 Accepting new patients
Leavitt Medical Associates of Nevada PC Dermatology CurrentSince Jun 1, 2025 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Sep 1, 2020 Accepting new patients
Advanced Dermatology of Virginia Inc Dermatology CurrentSince Jan 22, 2026 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.

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

Verify at the official NPI Registry.