Sun State Dermatology, LLC
NPI 1093496432 · Dermatology Physician · Maitland, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sun State Dermatology, LLC is a Dermatology Physician organization in Maitland, FL (NPI 1093496432).
Provider details
- NPI number
- 1093496432
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nathoo Rajiv, Practice Owner(407) 636-3113
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-28
- Last updated
- 2024-01-06
- Certified
- 2024-01-06
Frequently asked questions
- What is Sun State Dermatology, LLC's NPI number?
- Sun State Dermatology, LLC's National Provider Identifier (NPI) is 1093496432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sun State Dermatology, LLC?
- Sun State Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sun State Dermatology, LLC located?
- Sun State Dermatology, LLC's practice location on file with NPPES is 430 Lake Howell Rd, Maitland, FL 32751-5907.
- What is Sun State Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sun State Dermatology, LLC is (407) 636-3113.
- Does Sun State Dermatology, LLC accept Medicare?
- Sun State Dermatology, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sun State Dermatology, LLC?
- The authorized official listed on Sun State Dermatology, LLC's NPPES record is Nathoo Rajiv, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sun State Dermatology, LLC's NPI active?
- Yes — Sun State Dermatology, LLC's NPI (1093496432) is active in the NPPES registry as of the last update on 2024-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.