Individual provider Active NPI

Seth D Kaufman, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Davenport, FL
National Provider Identifier
1942475140
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS10695 Issued in FL
Practice address
130 Ridge Center Dr Ste 207
Davenport, FL 33837-6416
Phone
(786) 706-5531
Fax
(786) 706-1070
NPI assigned
Apr 28, 2008
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS10695 FL Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS10695 FL
Pain Medicine Physician 208VP0000X OS10695 FL

Addresses

Primary practice location

130 Ridge Center Dr Ste 207
Davenport, FL 33837-6416

Mailing address

130 Ridge Center Dr Ste 206
Davenport, FL 33837-6416
Phone (786) 706-5531

Other identifiers 1

IdentifierTypeStateIssuer
016377500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Skaufman.doc@sfios.emadirect.md Direct

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
I20100203000511 FL Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 3870651581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

130 Ridge Ctr Dr
Suite 206
Davenport, FL 33837-6416
Phone (786) 512-9963

4770 Biscayne Blvd
Suite 1100
Miami, FL 33137-3247
Phone (305) 467-5678

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Nov 1, 2019 Accepting new patients
Ortho Florida, LLC CurrentSince Nov 1, 2019 Accepting new patients
Brian S Kahan DO PA Pain Medicine Past Accepting new patients
Ira M. Garonzik, M.D., P.a. PastSince Jul 1, 2008 Accepting new patients
Brian S Kahan DO PA Pain Medicine Past Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

130 Ridge Center Dr
Ste 206
Davenport, FL 33837
Phone (786) 512-9963

6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056

4308 Alton Rd
Ste 830
Miami Beach, FL 33140
Phone (305) 532-0065

Interoperability endpoints

  • Direct secure messaging: skaufman.doc@sfios.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1942475140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RIDGE CENTER DR STE 206",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376416",
            "telephone_number": "786-706-5531",
            "fax_number": "786-706-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RIDGE CENTER DR STE 207",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376416",
            "telephone_number": "786-706-5531",
            "fax_number": "786-706-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "SETH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS10695",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS10695",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS10695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016377500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Skaufman.doc@sfios.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "130 Ridge Center Dr Ste 207",
            "city": "Davenport",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338376416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.