Individual provider Active NPI

Sanford Alton Kaufman, MD

  • Psychiatry Physician
  • Stuart, FL
National Provider Identifier
1578574497
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME16083 Issued in FL
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

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
090395OtherVALUE OPTIONS
N222062OtherFLHEALTH EASE WELLCARE
1509674OtherFLUNITED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130502000151 FL Practitioner - Psychiatry 1153568563 Reassigns benefits to 1 organization

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
Stedfast Medical Services LLCGroup PAC ID 4981000999, 46 clinicians

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

LicenseStateTypeSpecialty
ME16083FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stedfast Medical Services LLC Psychiatry CurrentSince Mar 1, 2024 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.

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

Verify at the official NPI Registry.