LUMINARY DERMATOLOGY, PA – MOHS-Micrographic Surgery Physician, NPI 1851955983
MOHS-Micrographic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LUMINARY DERMATOLOGY, PA
819 N Mills Ave Ste D
Arcadia, FL 342668716
Phone: (863) 491-2390
Fax: (941) 296-8501
Type: Location
3105 Bobcat Village Center Rd
North Port, FL 342888974
Phone: (941) 271-0021
Fax: (941) 296-8501
Type: Location
16870 NE 19th Ave
North Miami Beach, FL 331623108
Phone: (305) 947-1466
Fax: (305) 944-0692
Type: Location
1901 Haverford Ave
Sun City Center, FL 335735200
Phone: (941) 926-6553
Fax: (941) 296-8501
Type: Location
1550 E Venice Ave
Venice, FL 342921661
Phone: (941) 667-9030
Fax: (941) 296-8501
Type: Location
1250 S Tamiami Trl Ste 304
Sarasota, FL 342392221
Phone: (941) 263-2988
Fax: (941) 296-8501
Type: Location
544 Bay Isles Rd
Longboat Key, FL 342283129
Phone: (941) 926-6553
Fax: (941) 296-8501
Type: Location
8740 N Kendall Dr Ste 101
Miami, FL 331762209
Phone: (305) 661-8978
Fax: (941) 296-8501
Type: Location
925 NE 30th Ter Ste 308
Homestead, FL 330337614
Phone: (786) 670-9799
Fax: (941) 296-8501
Type: Location
2032 Hawthorne St
Sarasota, FL 342392307
Phone: (941) 926-6553
Fax: (941) 296-8501
Type: Location
Bee Ridge Road, Sarasota County, Florida, 34232, United States
PMB 309
SARASOTA, FL 342332514
Phone: (941) 926-6553
Fax: (941) 296-8501
Type: Mailing
2101, 61st Street West, Bradenton, Manatee County, Florida, 34209, United States
BRADENTON, FL 342095528
Phone: (941) 926-6553
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (127 days ago).
Enrollment records
1
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190603002014 | O | Clinic/Group Practice | FL | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 34266)
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