Dermatologist LLC
NPI 1336899061 · MOHS-Micrographic Surgery Physician · Tampa, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatologist LLC is a MOHS-Micrographic Surgery Physician organization in Tampa, FL (NPI 1336899061).
Provider details
- NPI number
- 1336899061
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olga Demidova, Director(216) 280-1343
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-03-25
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Dermatologist LLC's NPI number?
- Dermatologist LLC's National Provider Identifier (NPI) is 1336899061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatologist LLC?
- Dermatologist LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatologist LLC located?
- Dermatologist LLC's practice location on file with NPPES is 9724 N Armenia Ave Ste 300, Tampa, FL 33612-7550.
- What is Dermatologist LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatologist LLC is (440) 804-5996.
- Does Dermatologist LLC accept Medicare?
- Dermatologist 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 Dermatologist LLC?
- The authorized official listed on Dermatologist LLC's NPPES record is Olga Demidova, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatologist LLC's NPI active?
- Yes — Dermatologist LLC's NPI (1336899061) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.