Innovative Dermatology and Mohs Surgery LLC
NPI 1487049722 · Dermatology Physician · Lehigh Acres, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Dermatology and Mohs Surgery LLC is a Dermatology Physician organization in Lehigh Acres, FL (NPI 1487049722).
Provider details
- NPI number
- 1487049722
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Kontos, Owner(239) 368-8071
- License
- ME96589 (FL)
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
11 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
- 2015-04-03
- Last updated
- 2015-04-03
Frequently asked questions
- What is Innovative Dermatology and Mohs Surgery LLC's NPI number?
- Innovative Dermatology and Mohs Surgery LLC's National Provider Identifier (NPI) is 1487049722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Dermatology and Mohs Surgery LLC?
- Innovative Dermatology and Mohs Surgery LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Dermatology and Mohs Surgery LLC located?
- Innovative Dermatology and Mohs Surgery LLC's practice location on file with NPPES is 3507 Lee Blvd, Lehigh Acres, FL 33971-1318.
- What is Innovative Dermatology and Mohs Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Dermatology and Mohs Surgery LLC is (239) 368-8071.
- Does Innovative Dermatology and Mohs Surgery LLC accept Medicare?
- Innovative Dermatology and Mohs Surgery 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 Innovative Dermatology and Mohs Surgery LLC?
- The authorized official listed on Innovative Dermatology and Mohs Surgery LLC's NPPES record is Andrew Kontos, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Dermatology and Mohs Surgery LLC's NPI active?
- Yes — Innovative Dermatology and Mohs Surgery LLC's NPI (1487049722) is active in the NPPES registry as of the last update on 2015-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.