Active NPI
Kristin Haushalter, MD
- Dermatology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME131201
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 682 |
| Skin biopsy | 128 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131201 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Dermatology | Current | Accepting new patients |
| Fort Wayne Medical Education Program | Past | 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
- 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.
-
- Clinical Medical Laboratory
- Fort Wayne, IN
- NPI 1235940784
-
dba The Family Medicine Center
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1184635153
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.