Individual provider Active NPI

Kathleen Bernadette Herne, MD

  • Dermatology Physician
  • West Palm Beach, FL
National Provider Identifier
1871565648
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME83379 Issued in FL
Practice address
1840 Forest Hill Blvd
Suite 102
West Palm Beach, FL 33406-6063
Phone
(561) 964-6664
Fax
(561) 964-8599
NPI assigned
Feb 6, 2006
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME83379 FL Primary
MOHS-Micrographic Surgery Physician 207ND0101X ME83379 FL
Dermatopathology Physician 207ND0900X ME83379 FL
Procedural Dermatology Physician 207NS0135X ME83379 FL

Addresses

Primary practice location

1840 Forest Hill Blvd
Suite 102
West Palm Beach, FL 33406-6063

Mailing address

4800 N Federal Hwy Ste 100C
Boca Raton, FL 33431-5177
Phone (561) 886-0970

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
I20041119000688 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6204812019 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanctuary Medical Aesthetic Center of Boca Raton LLCGroup PAC ID 4284927872, 3 clinicians
Adam S Plotkin MD PAGroup PAC ID 9739166208, 11 clinicians
Delray Dermatology LLCGroup PAC ID 3274899760, 8 clinicians
Dermatology of Century Village WPB LLCGroup PAC ID 2567565260, 3 clinicians

Practice addresses (Care Compare)

4800 N Federal Hwy
Suite C100
Boca Raton, FL 33431
Phone (561) 886-0970

5210 Linton Blvd
Suite 307
Delray Beach, FL 33484-6500
Phone (561) 499-0660

550 SE 6TH Ave
Suite 100
Delray Beach, FL 33483-5306
Phone (561) 440-8020

603 Village Blvd
Suite 201
West Palm Beach, FL 33409-1972
Phone (561) 964-6664

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions1026
Removal of skin cancer795
Skin biopsy647

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83379FLMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanctuary Medical Aesthetic Center of Boca Raton LLC Dermatology CurrentSince Jul 1, 2016 Accepting new patients
Adam S Plotkin MD PA Dermatology CurrentSince May 1, 2016 Accepting new patients
Delray Dermatology LLC Dermatology CurrentSince Nov 11, 2019 Accepting new patients
Dermatology of Century Village WPB LLC Dermatology CurrentSince Dec 1, 2008 Accepting new patients
Devenir Aesthetics, PA PastSince Jul 3, 2016 Accepting new patients

Locations

4800 N Federal Hwy
Ste 100C
Boca Raton, FL 33431
Phone (561) 886-0970

5210 Linton Blvd
Ste 307
Delray Beach, FL 33484
Phone (561) 499-0660

550 SE 6th Ave
#100
Delray Beach, FL 33483
Phone (561) 440-8020

1840 Forest Hill Blvd
#102A
West Palm Beach, FL 33406
Phone (407) 964-6664

1840 Forest Hill Blvd
Ste 102
West Palm Beach, FL 33406
Phone (561) 766-2373

603 Village Blvd
Ste 201
West Palm Beach, FL 33409
Phone (561) 683-1331

Interoperability endpoints

  • Direct secure messaging: kherne@delrayskin.emadirect.md

Organizations & group practices 5

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1871565648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY STE 100C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315177",
            "telephone_number": "561-886-0970",
            "fax_number": "561-886-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 FOREST HILL BLVD",
            "address_2": "SUITE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066063",
            "telephone_number": "561-964-6664",
            "fax_number": "561-964-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNE",
        "first_name": "KATHLEEN",
        "middle_name": "BERNADETTE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME83379",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME83379",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME83379",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME83379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.