YASSER FARAJ (DO) – Dermatology Physician, NPI 1043848229

YASSER FARAJ (DO) is a healthcare provider. based in Maitland, Florida. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), GENERAL PRACTICE. They hold the professional credentials DO. They hold a License No. 18932 (FL). The NPI Number for YASSER FARAJ (DO) is 1043848229

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
YASSER FARAJ (DO)
NPI
1043848229
Phone
(866) 400-3376
Address
151 SOUTHHALL LN STE 300
Enumeration Date
1 April 2020
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
4809823337
Graduation Year
2020 (6 years ago)
PAC ID
8729452792
Group Practice PAC ID
5698850543
Professional Enrollment ID
I20240426002554
Address ID
AZ852064616ME4540XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:6State licenses:3Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for YASSER FARAJ (DO)

  • 151 SOUTHHALL LN STE 300

    MAITLAND, FL 327517172

    Phone: (866) 400-3376

    Type: Location

  • 725 S College Ave

    Bluefield, VA 246051640

    Phone: (276) 326-3376

    Type: Location

  • 45 READE PL

    POUGHKEEPSIE, NY 126013947

    Phone: (845) 790-2085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,707.

Total Amount is formed as General ($1,707) + Research ($0) + Ownership ($0) = $1,707.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($287).

Total Amount

$1,707

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,707

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230315001584IDermatologyFLTBD
I20240426002554IDermatologyAZTBD
I20260113000862IDermatologyWVTBD
I20260115000977IDermatologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698850543View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerAZ
Family Practice, DermatologyAZ
D E R M A T O L O G YAZ
Micrographic Dermatologic Surgery (Mds), DermatologyAZ
Physician AssistantNV
D E R M A T O L O G YCA
D E R M A T O L O G YMN
D E R M A T O L O G YAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Does YASSER FARAJ (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — YASSER FARAJ (DO) uses 1043848229.
Is YASSER FARAJ (DO) listed as active for patients and plans?
The listing shows YASSER FARAJ (DO) as active in the NPI system.
What healthcare role does YASSER FARAJ (DO) hold?
Scheduling teams often label YASSER FARAJ (DO) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect YASSER FARAJ (DO) on a map?
Expect Maitland, Florida as a primary anchor for YASSER FARAJ (DO) unless the record lists multiple sites.
Why does YASSER FARAJ (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.