Organization provider

COASTAL SKIN SURGERY AND DERMATOLOGY, PL

MOHS-Micrographic Surgery Physician Dermatology Physician Medicare enrolled

COASTAL SKIN SURGERY AND DERMATOLOGY, PL is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114238193, based in Miramar Beach, FL. The organization lists 2 taxonomy classifications, with MOHS-Micrographic Surgery Physician recorded as primary.

Getting there

The practice address on file is 12469 EMERALD COAST PKWY W SUITE 101, Miramar Beach, FL 32550. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12469 EMERALD COAST PKWY W SUITE 101, Miramar Beach, FL 32550 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME92098 FL MOHS-Micrographic Surgery Physician primary

This provider holds licence ME92098 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
3173715869

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What MOHS-Micrographic Surgery covers

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. NUCC Health Care Provider Taxonomy, code 207ND0101X
Allopathic & Osteopathic Physicians Dermatology MOHS-Micrographic Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery ME92098 FL primary
207N00000X Dermatology Physician

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.

NPI1114238193 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 24, 2010
Last updatedApr 21, 2011
StatusActive
Practice address 12469 EMERALD COAST PKWY W
SUITE 101
Miramar Beach, FL 32550
(850) 654-3376
Fax (850) 654-3320
Other identifiers 00175 · BCBSFL (FL)
This record was last updated on Apr 21, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1114238193 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 1 1 4 2 3 8 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 4 3 7 1 9

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

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.

Common questions

What is NPI number 1114238193?
NPI 1114238193 is the National Provider Identifier assigned to COASTAL SKIN SURGERY AND DERMATOLOGY, PL in Miramar Beach, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does MOHS-Micrographic Surgery cover?
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery…
How do I contact COASTAL SKIN SURGERY AND DERMATOLOGY, PL?
The phone number on file with NPPES is (850) 654-3376, last updated Apr 21, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does COASTAL SKIN SURGERY AND DERMATOLOGY, PL accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114238193 a valid number?
Yes. 1114238193 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.