SKYLAKE MEDICAL ASSOCIATES PLLC
SKYLAKE MEDICAL ASSOCIATES PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1073381802, based in N. Miami Beach, FL. The organization lists 7 taxonomy classifications, with Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 1380 NE MIAMI GARDENS DR STE. 280, N. Miami Beach, FL 33179. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9931548302
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Florida | O20240418000095 | Part B Supplier - Clinic/group Practice |
| Florida | O20250807001271 | Dme Supplier - Multi-specialty - Physician |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Nurse Practitioner covers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NUCC Health Care Provider Taxonomy, code 363L00000X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | — | — | primary |
| 207N00000X | Dermatology Physician | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207RN0300X | Nephrology Physician Nephrology | — | — | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | |
| 213E00000X | Podiatrist | — | — | |
| 367500000X | Certified Registered Nurse Anesthetist | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1073381802 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 12, 2023 |
| Last updated | Mar 21, 2025 |
| Status | Active |
| Practice address |
1380 NE MIAMI GARDENS DR STE. 280 N. Miami Beach, FL 33179 (818) 267-4606 Fax (305) 749-6505 |
| Other identifiers |
010594700
· Medicaid (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 3 | 8 | 1 | 8 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 6 | 8 | 2 | 8 | 0 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.