Individual provider Active NPI

Mark Warren Kaylin, M.D.

  • Nephrology Physician
  • Plantation, FL
National Provider Identifier
1497851687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME0065457 Issued in FL
Practice address
333 NW 70TH Ave
Suite 107
Plantation, FL 33317-2385
Phone
(954) 581-0200
Fax
(954) 581-0203
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME0065457 FL Primary

Addresses

Primary practice location

333 NW 70TH Ave
Suite 107
Plantation, FL 33317-2385

Mailing address

333 NW 70TH Ave
Suite 107
Plantation, FL 33317-2385
Phone (954) 581-0200

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
I20120306000536 FL Practitioner - Internal MedicinePractitioner - Nephrology 0244327021

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 NW 70TH Ave
Suite 107
Plantation, FL 33317-2358

9725 NW 117TH Ave
Suite 200
Medley, FL 33178-1260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0065457FLMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: mark.kaylin@chealth.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497851687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NW 70TH AVE",
            "address_2": "SUITE 107",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172385",
            "telephone_number": "954-581-0200",
            "fax_number": "954-581-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NW 70TH AVE",
            "address_2": "SUITE 107",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172385",
            "telephone_number": "954-581-0200",
            "fax_number": "954-581-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYLIN",
        "first_name": "MARK",
        "middle_name": "WARREN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0065457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.