DR. SEAN MAZLOOM (MD) – MOHS-Micrographic Surgery Physician, NPI 1518256932

DR. SEAN MAZLOOM (MD) is a healthcare provider. based in Venice, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME145595 (FL). The NPI Number for DR. SEAN MAZLOOM (MD) is 1518256932

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SEAN MAZLOOM (MD)
NPI
1518256932
Phone
(941) 946-7570
Address
2389 E VENICE AVE UNIT 510
Enumeration Date
6 April 2011
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9415290070
Graduation Year
2011 (15 years ago)
PAC ID
2860612611
Group Practice PAC ID
3173932548
Professional Enrollment ID
I20200812000288
Address ID
FL342921651VE395XXCTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,369 DERMATOLOGY in FL

Provider Addresses for DR. SEAN MAZLOOM (MD)

  • 2389 E VENICE AVE UNIT 510

    VENICE, FL 342922465

    Phone: (941) 946-7570

    Fax: (941) 240-9950

    Type: Mailing

  • 1576 BELLA CRUZ DR # 264

    LADY LAKE, FL 321598969

    Phone:

    Type: Mailing

  • 1050 OLD CAMP RD STE 150

    THE VILLAGES, FL 321621723

    Phone: (646) 647-0308

    Type: Location

  • 395 COMMERCIAL CT STE C

    VENICE, FL 342921651

    Phone: (941) 529-0070

    Fax: (941) 529-0539

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $1,021.

Total Amount is formed as General ($1,021) + Research ($0) + Ownership ($0) = $1,021.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($289).

Total Amount

$1,021

General + Research + Ownership

Payments

33

Total payment records

General Amount

$1,021

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170724000237IDermatologyNYTBD
I20200812000288IDermatologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg48,201108$0
17003Destruction of precancer skin growth, 2-14 growths3,643389$0
17000Destruction of precancer skin growth, 1 growth862443$0
0394THigh dose rate electronic brachytherapy, external79975$0
99213Established patient office or other outpatient visit, 20-29 minutes699320$0
View full utilization report →

Insurance plans in this area (ZIP 34292)

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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: 3173932548View full group profile
NameSpecialtyState
Internal MedicineFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Is there an official ID for DR. SEAN MAZLOOM (MD) in U.S. healthcare records?
The official identifier for DR. SEAN MAZLOOM (MD) is NPI 1518256932.
Is DR. SEAN MAZLOOM (MD) still an active registrant?
DR. SEAN MAZLOOM (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. SEAN MAZLOOM (MD)?
DR. SEAN MAZLOOM (MD) is associated with MOHS-Micrographic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SEAN MAZLOOM (MD) associated with Venice?
Public fields place DR. SEAN MAZLOOM (MD) around Venice, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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