St Petersburg Skin and Laser Center LLC
NPI 1205475761 · Dermatology Physician · St Petersburg, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Petersburg Skin and Laser Center LLC is a Dermatology Physician organization in St Petersburg, FL (NPI 1205475761).
Provider details
- NPI number
- 1205475761
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Katarina Kesty, Physician(727) 474-4938
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
6 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
- 2020-01-02
- Last updated
- 2020-05-28
- Certified
- 2020-05-28
Frequently asked questions
- What is St Petersburg Skin and Laser Center LLC's NPI number?
- St Petersburg Skin and Laser Center LLC's National Provider Identifier (NPI) is 1205475761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Petersburg Skin and Laser Center LLC?
- St Petersburg Skin and Laser Center LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is St Petersburg Skin and Laser Center LLC located?
- St Petersburg Skin and Laser Center LLC's practice location on file with NPPES is 100 40th Ave N, St Petersburg, FL 33703-6125.
- What is St Petersburg Skin and Laser Center LLC's phone number?
- The practice phone number listed in the NPPES registry for St Petersburg Skin and Laser Center LLC is (727) 474-9399.
- Does St Petersburg Skin and Laser Center LLC accept Medicare?
- St Petersburg Skin and Laser Center 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 St Petersburg Skin and Laser Center LLC?
- The authorized official listed on St Petersburg Skin and Laser Center LLC's NPPES record is Katarina Kesty, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Petersburg Skin and Laser Center LLC's NPI active?
- Yes — St Petersburg Skin and Laser Center LLC's NPI (1205475761) is active in the NPPES registry as of the last update on 2020-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.