Divine Dermatology PLLC
NPI 1508976010 · Dermatology Physician · St Petersburg, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Dermatology PLLC is a Dermatology Physician organization in St Petersburg, FL (NPI 1508976010).
Provider details
- NPI number
- 1508976010
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Neha Chandan, Owner(727) 528-0321
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Doing business as
- Prime Dermatology
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Divine Dermatology PLLC's NPI number?
- Divine Dermatology PLLC's National Provider Identifier (NPI) is 1508976010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Dermatology PLLC?
- Divine Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Divine Dermatology PLLC located?
- Divine Dermatology PLLC's practice location on file with NPPES is 2191 9th Ave N Ste 100, St Petersburg, FL 33713-7147.
- What is Divine Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Dermatology PLLC is (727) 528-0321.
- Does Divine Dermatology PLLC accept Medicare?
- Divine Dermatology PLLC 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 Divine Dermatology PLLC?
- The authorized official listed on Divine Dermatology PLLC's NPPES record is Neha Chandan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Dermatology PLLC's NPI active?
- Yes — Divine Dermatology PLLC's NPI (1508976010) 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.