Individual provider Active NPI

Kathleen Joseph-McBean, M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1497853394
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93058 Issued in FL
Practice address
3465 Galt Ocean Dr
Suite 101
Ft Lauderdale, FL 33308-7003
Phone
(954) 566-7775
Fax
(954) 566-9997
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME93058 FL Primary

Addresses

Primary practice location

3465 Galt Ocean Dr
Suite 101
Ft Lauderdale, FL 33308-7003

Mailing address

PO Box 11457
Ft Lauderdale, FL 33339-1457
Phone (954) 566-7775

Other identifiers 1

IdentifierTypeStateIssuer
273628200MedicaidFL

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
I20051004000551 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 4981686383 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coral Springs Physician Services, LLCGroup PAC ID 7719268333, 36 clinicians

Practice addresses (Care Compare)

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
82.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93058FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Coral Springs Physician Services, LLC CurrentSince Nov 16, 2016 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Small Hospital Innovations LLC CurrentSince Nov 1, 2014 Accepting new patients
Fort Lauderdale Physician Services, LLC CurrentSince Nov 7, 2017 Accepting new patients
Victor Toledano MD PA Internal Medicine Past Accepting new patients

Locations

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1497853394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11457",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391457",
            "telephone_number": "954-566-7775",
            "fax_number": "954-566-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR",
            "address_2": "SUITE 101",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087003",
            "telephone_number": "954-566-7775",
            "fax_number": "954-566-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH-MCBEAN",
        "first_name": "KATHLEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273628200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.