Active NPI
Sanford Alton Kaufman, MD
- Psychiatry Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME16083
- Practice address
- 500 NW Dixie Hwy Suite 102
Stuart, FL 34994 - Phone
- (772) 263-8031
- Fax
- (772) 781-6444
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME16083 | FL | |
| Psychiatry Physician | 2084P0800X | ME16083 | FL | Primary |
Addresses
Primary practice location
500 NW Dixie Hwy Suite 102
Stuart, FL 34994
Mailing address
624 Turning Leaf Ave
Saint Johns, FL 32259-8380
Phone (772) 263-8031
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090395 | Other | VALUE OPTIONS | |
| N222062 | Other | FL | HEALTH EASE WELLCARE |
| 1509674 | Other | FL | UNITED HEALTH CARE |
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
- Psychiatry
- Education
- New York Medical College, 1968
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10301 Hagen Ranch Rd
Suite D720
Boynton Beach, FL 33437-3777
Phone (561) 402-3971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME16083 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stedfast Medical Services LLC | Psychiatry | Current | Accepting new patients |
Locations
10301 Hagen Ranch Rd
Ste D720
Boynton Beach, FL 33437
Phone (561) 267-5597
3365 Burns Rd
Ste 203
Palm Beach Gardens, FL 33410
Phone (561) 412-9373
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Palm Beach Gardens, FL
- NPI 1508438284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1578574497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 TURNING LEAF AVE",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322598380",
"telephone_number": "772-263-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NW DIXIE HWY SUITE 102",
"city": "STUART",
"state": "FL",
"postal_code": "34994",
"telephone_number": "772-263-8031",
"fax_number": "772-781-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "SANFORD",
"middle_name": "ALTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME16083",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME16083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "090395",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH EASE WELLCARE",
"identifier": "N222062",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1509674",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.