Orlando Dermatology Clinic, LLC
NPI 1891257655 · MOHS-Micrographic Surgery Physician · The Villages, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Orlando Dermatology Clinic, LLC is a MOHS-Micrographic Surgery Physician organization in The Villages, FL (NPI 1891257655).
Provider details
- NPI number
- 1891257655
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tarek Shaath, Dermatologist, LLC President(785) 760-6740
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
- Non-Pharmacy Dispensing Site332900000X
Suppliers
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
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
- Care Dermatology and Skin Cancer Centers
Registry dates
- Enumerated
- 2019-04-02
- Last updated
- 2020-05-21
- Certified
- 2020-05-21
Frequently asked questions
- What is Orlando Dermatology Clinic, LLC's NPI number?
- Orlando Dermatology Clinic, LLC's National Provider Identifier (NPI) is 1891257655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Orlando Dermatology Clinic, LLC?
- Orlando Dermatology Clinic, LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Orlando Dermatology Clinic, LLC located?
- Orlando Dermatology Clinic, LLC's practice location on file with NPPES is 1040 Lake Sumter Lndg, The Villages, FL 32162-2697.
- What is Orlando Dermatology Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Orlando Dermatology Clinic, LLC is (352) 218-3211.
- Does Orlando Dermatology Clinic, LLC accept Medicare?
- Orlando Dermatology Clinic, 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 Orlando Dermatology Clinic, LLC?
- The authorized official listed on Orlando Dermatology Clinic, LLC's NPPES record is Tarek Shaath, Dermatologist, LLC President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Orlando Dermatology Clinic, LLC's NPI active?
- Yes — Orlando Dermatology Clinic, LLC's NPI (1891257655) is active in the NPPES registry as of the last update on 2020-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.