Individual provider Active NPI

Kristin Haushalter, MD

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1396959599
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME131201 Issued in FL
Practice address
7800 SW 87TH Ave Ste B-200
Miami, FL 33173
Phone
(305) 279-6060
NPI assigned
May 9, 2007
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME131201 FL Primary

Addresses

Primary practice location

7800 SW 87TH Ave Ste B-200
Miami, FL 33173

Mailing address

7800 SW 87TH Ave Ste B-200
Miami, FL 33173-3570
Phone (305) 279-6060

Other practice location 1

7800 SW 87th Ave Ste B-200
Miami, FL 33173
Phone (305) 279-6060

Other practice location 2

8900 N Kendall DR
Miami Cancer Center
Miami, FL 33176-2118
Phone (786) 596-2000

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
I20170821003412 FL Practitioner - Dermatology 3870648561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

4425 Ponce de Leon Blvd
Suite 115
Coral Gables, FL 33146-1842
Phone (305) 667-3152

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions682
Skin biopsy128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131201FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Dermatology CurrentSince Aug 30, 2021 Accepting new patients
Fort Wayne Medical Education Program PastSince Sep 1, 2024 Accepting new patients
Fort Wayne Dermatology Consultants Inc Past Accepting new patients

Locations

4425 Ponce de Leon Blvd
Ste 115
Coral Gables, FL 33146
Phone (305) 667-3152

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8299 S Dixie Hwy
Miami, FL 33143
Phone (305) 663-1266

Interoperability endpoints

  • Direct secure messaging: khaushalter@directaddress.net

Organizations & group practices 3

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1396959599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE STE B-200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "305-279-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE STE B-200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-279-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 SW 87th Ave Ste B-200",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33173",
            "country_code": "US",
            "telephone_number": "305-279-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 N Kendall DR",
            "address_2": "Miami Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-596-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUSHALTER",
        "first_name": "KRISTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME131201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.