Luminary Dermatology, PA
NPI 1851955983 · MOHS-Micrographic Surgery Physician · Bradenton, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luminary Dermatology, PA is a MOHS-Micrographic Surgery Physician organization in Bradenton, FL (NPI 1851955983).
Provider details
- NPI number
- 1851955983
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Phillips, Ceo(941) 302-4669
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
11 documented practice locations
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
Additional practice locations (10)
- 819 N Mills Ave Ste DArcadia, FL 34266-8716Phone: (863) 491-2390Fax: (941) 296-8501
- 925 Ne 30th Ter Ste 308Homestead, FL 33033-7614Phone: (786) 670-9799Fax: (941) 296-8501
- 544 Bay Isles RdLongboat Key, FL 34228-3129Phone: (941) 926-6553Fax: (941) 296-8501
- 8740 N Kendall Dr Ste 101Miami, FL 33176-2209Phone: (305) 661-8978Fax: (941) 296-8501
- 16870 Ne 19th AveNorth Miami Beach, FL 33162-3108Phone: (305) 947-1466Fax: (305) 944-0692
- 3105 Bobcat Village Center RdNorth Port, FL 34288-8974Phone: (941) 271-0021Fax: (941) 296-8501
- 2032 Hawthorne StSarasota, FL 34239-2307Phone: (941) 926-6553Fax: (941) 296-8501
- 1250 S Tamiami Trl Ste 304Sarasota, FL 34239-2221
Registry dates
- Enumerated
- 2019-04-24
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Luminary Dermatology, PA's NPI number?
- Luminary Dermatology, PA's National Provider Identifier (NPI) is 1851955983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Luminary Dermatology, PA?
- Luminary Dermatology, PA is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Luminary Dermatology, PA located?
- Luminary Dermatology, PA's practice location on file with NPPES is 2101 61st St W, Bradenton, FL 34209-5528.
- What is Luminary Dermatology, PA's phone number?
- The practice phone number listed in the NPPES registry for Luminary Dermatology, PA is (941) 926-6553.
- Does Luminary Dermatology, PA accept Medicare?
- Luminary Dermatology, PA 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 Luminary Dermatology, PA?
- The authorized official listed on Luminary Dermatology, PA's NPPES record is Jessica Phillips, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Luminary Dermatology, PA's NPI active?
- Yes — Luminary Dermatology, PA's NPI (1851955983) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.