MARC KAUFMAN MD
NPI 1013313196
Internal Medicine in Miami, FL

Q: What is Marc Kaufman's NPI number?

The NPI number for Marc Kaufman is 1013313196. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Q: What is Marc Kaufman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Kaufman was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2014PECOS Enrolled

6100 BLUE LAGOON DR, SUITE 110, MIAMI, FL 33126(305) 648-1940(305) 648-3279 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Marc Kaufman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC KAUFMAN MD (NPI 1013313196) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME 42165) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013313196

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMARC KAUFMANCredential: MD

Location Address6100 BLUE LAGOON DR, SUITE 110Miami, FL 33126-2079

Mailing Address6100 Blue Lagoon Dr, Suite 110Miami, FL 33126-2079 · (305) 648-1940 · Fax (305) 648-3279

Phone(305) 648-1940

Fax(305) 648-3279

Sole ProprietorYes

Enumeration DateNovember 17, 2014

✔ NPI 1013313196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME 42165

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6100 BLUE LAGOON DR, Miami, FL 33126

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc Kaufman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Marc Kaufman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Creative Healthcare Center LLC

3.6 mi

Clinic/Center

789 NW 27TH AVE
Miami, FL 33125

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1215659933 (305) 710-3930

Bett-Er Support & Service Inc

4.6 mi

Family Medicine

760 NW 107TH AVE STE 100
Miami, FL 33172

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1356946016 (786) 534-7172

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

2 suppliers17 claims163 services$0.30 avg. paid by Medicare

Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6238

DME-Medical/Surgical Supplies · category DA023N

2 suppliers16 claims421 services$21.98 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing A6403

DME-Medical/Surgical Supplies · category DA023N

2 suppliers16 claims1,379 services$0.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATSUKO NAKAHARA L.M.H.C.

Counselor (Mental Health)

6100 BLUE LAGOON DR
MIAMI, FL 33126

Miami-Dade County (305) 774-3300

SPECIALIZED ON-SITE CARE MANAGEMENT, INC.

Case Manager/Care Coordinator

6100 BLUE LAGOON DR, SUITE 110
MIAMI, FL 33126

Miami-Dade County (305) 648-1940

THERAPY REVIEW SYSTEMS, INC

Physical Therapist

6100 BLUE LAGOON DR, SUITE 235
MIAMI, FL 33126

Miami-Dade County (305) 670-0640

JOSE R. NUNEZ ARNP

Nurse Practitioner (Family)

6100 BLUE LAGOON DR, SUITE 365
MIAMI, FL 33126

Miami-Dade County (786) 322-7358

DONALD SINCLAIR JR. LCSW

Social Worker (Clinical)

6100 BLUE LAGOON DR, SUITE 400
MIAMI, FL 33126

Miami-Dade County (305) 398-6100

PRIMEMED PHYSICIAN NETWORK, LLC

General Practice

6100 BLUE LAGOON DR, SUITE 430
MIAMI, FL 33126

Miami-Dade County (305) 264-0778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Kaufman's NPI number?

The NPI number for Marc Kaufman is 1013313196. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Marc Kaufman located?

Marc Kaufman practices at 6100 Blue Lagoon Dr Suite 110, Miami, FL 33126. The listed phone number is (305) 648-1940.

What is Marc Kaufman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marc Kaufman enrolled in Medicare?

Yes. Marc Kaufman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marc Kaufman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Kaufman reassigns Medicare benefits to 2 organizations: Creative Healthcare Center LLC (Miami, FL) and Bett-Er Support & Service Inc (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Kaufman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Kaufman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Marc Kaufman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Kaufman was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.