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MOHAMMAD IBRAHIM FARDOS
NPI 1104575588
Dermatology in Port Richey, FL

Active since March 22, 2022PECOS Enrolled
8220 US HIGHWAY 19, PORT RICHEY, FL 34668(727) 588-5704 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mohammad Ibrahim Fardos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMMAD IBRAHIM FARDOS (NPI 1104575588) is an individual dermatology provider in Port Richey, Florida, licensed in Florida (23826) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104575588
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMOHAMMAD IBRAHIM FARDOS
Location Address8220 US HIGHWAY 19Port Richey, FL 34668-6639
Mailing Address8220 Us Highway 19Port Richey, FL 34668-6639
Phone(727) 588-5704
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1104575588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · 23826
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
8220 US HIGHWAY 19, Port Richey, FL 34668
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Ibrahim Fardos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mohammad Fardos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bay Dermatology And Cosmetic Surgery P A
Same address
Dermatology
8220 US HIGHWAY 19
Port Richey, FL 34668
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1437148996 (727) 841-8505

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34668 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD A MILLER D.O.
Dermatology
8220 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (727) 841-8505
DAVID W DORTON DO
Dermatology
8220 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (727) 848-3761
DAVID ESGUERRA DO
Dermatology
8220 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (727) 841-8505
BONNIE M NESTLER ARNP
Dermatology
8220 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (727) 841-8505
BAY DERMATOLOGY AND COSMETIC SURGERY P A
Dermatology
8220 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (727) 841-8505
MICHAEL E KRUTCHIK DO
Dermatology
8220 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (727) 841-8505
LOU ANN HECKMAN ARNP
Nurse Practitioner (Adult Health)
8220 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (727) 841-8505
KRINA CHAVDA D.O.
Dermatology
8220 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (727) 841-8505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammad Fardos's NPI number?

The NPI number for Mohammad Fardos is 1104575588. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Mohammad Fardos located?

Mohammad Fardos practices at 8220 Us Highway 19, Port Richey, FL 34668. The listed phone number is (727) 588-5704.

What is Mohammad Fardos's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mohammad Fardos enrolled in Medicare?

Yes. Mohammad Fardos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohammad Fardos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Fardos reassigns Medicare benefits to Bay Dermatology And Cosmetic Surgery P A (Port Richey, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohammad Fardos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Fardos accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mohammad Fardos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mohammad Fardos was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.