Active NPI
Kathleen A Hayden, M.D.
- Family Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME153911
- Practice address
- 3131 N McMullen Booth Rd
Clearwater, FL 33761-2008 - Phone
- (727) 726-8871
- Fax
- (727) 726-8571
- NPI assigned
- Jun 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 197521 | NY | |
| Family Medicine Physician | 207Q00000X | ME153911 | FL | Primary |
Addresses
Primary practice location
3131 N McMullen Booth Rd
Clearwater, FL 33761-2008
Mailing address
3131 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone (727) 726-8871
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113321500 | Medicaid | FL | |
| JZKV4 | Other | FL | FLORIDA BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Rochester School of Medicine and Dentistry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3496 NW Federal Hwy
Suite D
Jensen Beach, FL 34957
Phone (772) 223-5619
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME153911 | FL | MD | Family Medicine Physician |
| 197521 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Rochester General Hospital | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3496 NW Federal Hwy
Ste D
Jensen Beach, FL 34957
Phone (772) 223-5619
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
1951 NW Federal Hwy
Stuart, FL 34994
Phone (772) 419-4262
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
601 Elmwood Ave
#320
Rochester, NY 14642
2745 W Ridge Rd
Rochester, NY 14626
Phone (585) 225-5252
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 4
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.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1700814670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 N MCMULLEN BOOTH RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612008",
"telephone_number": "727-726-8871",
"fax_number": "727-726-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 N MCMULLEN BOOTH RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612008",
"telephone_number": "727-726-8871",
"fax_number": "727-726-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "KATHLEEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "197521",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME153911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113321500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "JZKV4",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.