1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Dermatology
  6. NPI Profile

LUMINARY DERMATOLOGY OF MIAMI, LLC
NPI 1114769767
Dermatology - MOHS-Micrographic Surgery in Miami, FL

Active since June 12, 2024CLIA Certified · 5 labs
8740 N KENDALL DR STE 101, MIAMI, FL 33176(305) 661-8978(941) 296-8501 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Luminary Dermatology Of Miami, Llc NPPES

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

LUMINARY DERMATOLOGY OF MIAMI, LLC (NPI 1114769767), doing business as Luminary Dermatology, Pa, is a healthcare organization registered as a mohs-micrographic surgery in Miami, Florida and active in the NPI registry since June 2024. The organization holds 5 active CLIA laboratory certificates, maintains a secondary practice location in Homestead, and lists Jessica Phillips, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114769767
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameLUMINARY DERMATOLOGY OF MIAMI, LLC
Location Address8740 N KENDALL DR STE 101Miami, FL 33176-2209
Mailing Address4411 Bee Ridge Rd # 309Sarasota, FL 34233-2514 · (941) 926-6553 · Fax (941) 296-8501
Phone(305) 661-8978
Fax(941) 296-8501
Organization SubpartNo
Authorized OfficialJessica PhillipsCeo · (941) 926-6553
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1114769767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
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.
8740 N KENDALL DR STE 101, Miami, FL 33176
Open in Google Maps ↗

Other Names 1

Doing Business AsLuminary Dermatology, Pa

Secondary Practice Location 1

Location 1925 NE 30th Ter Ste 308Homestead, FL 33033-7614 · Phone (786) 670-9799 · Fax (941) 296-8501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luminary Dermatology Of Miami, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Luminary Dermatology Of Miami, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology8
Nurse Practitioner2

Clinicians, nearest first (10)

Phyllis Skolnik, M.D.
Dermatology
NPI 1023081692
8740 N KENDALL DR STE 101
Miami, FL 33176
(305) 661-8978
✔ PECOS✔ Accepts MedicareSame address
Michael Randolph, MD
Dermatology
NPI 1780263830
8740 N KENDALL DR STE 101
Miami, FL 33176
(305) 661-8978
✔ PECOS✔ Accepts MedicareSame address
Shoshana Blumenthal, MD
Dermatology
NPI 1982165965
1295 NW 14TH ST
Miami, FL 33125
(305) 243-6704
✔ PECOS✔ Accepts Medicare10 mi
Yuleidy Andarcio Lujan, APRN
Nurse Practitioner
NPI 1447892179
1600 NW 10TH AVE RM 2023-A
Miami, FL 33136
(305) 243-4472
✔ PECOS✔ Accepts Medicare10 mi
Joseph Seber, M.D.
Dermatology
NPI 1558326215
16870 NE 19TH AVE
North Miami Beach, FL 33162
(305) 947-1466
✔ PECOS✔ Accepts Medicare20 mi
Jennifer Birling, MSN, ARNP-BC
Nurse Practitioner
NPI 1174061105
2950 CLEVELAND CLINIC BLVD
Weston, FL 33331
(954) 659-5000
✔ PECOS27 mi
Denise Guevara, D.O.
Dermatology
NPI 1356644264
7421 N. UNIVERSITY DRIVE S. 307
Tamarac, FL 33321
(954) 720-7272
✔ PECOS✔ Accepts Medicare37 mi
Michael Foss
Dermatology
NPI 1285193193
2101 61ST ST W
Bradenton, FL 34209
(941) 677-9070
✔ PECOS✔ Accepts Medicare188 mi
Cary Dunn, M.D.
Dermatology
NPI 1639163298
580 PROVIDENCE PARK DR E FL 2
Mobile, AL 36695
(251) 631-3570
✔ PECOS✔ Accepts Medicare590 mi
Karen Maloney, MD
Dermatology
NPI 1912918186
2320 DEAN ST STE 104
St Charles, IL 60175
(630) 523-4747
✔ PECOS✔ Accepts Medicare1,209 mi

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

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2251108

Luminary Dermatology Of Miami LLC · Miami, FL
Active · expires Dec 4, 2026
CLIA Number10D2251108
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorCary Dunn
Laboratory Phone(941) 926-6553
Laboratory LocationLuminary Dermatology Of Miami LLC8740 N Kendall Drive Suite 101, Miami, FL 33176
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2174138

Luminary Dermatology P.A. · Bradenton, FL
Active · expires May 20, 2028
CLIA Number10D2174138
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorMichael G. Foss
Laboratory Phone(941) 926-6553
Laboratory LocationLuminary Dermatology P.A.2101 61st St West, Bradenton, FL 34209
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2228499

Luminary Dermatology Of Miami LLC · Homestead, FL
Active · expires Apr 24, 2028
CLIA Number10D2228499
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorCary L. Dunn
Laboratory Phone(941) 926-6553
Laboratory LocationLuminary Dermatology Of Miami LLC925 NE 30th Terrace Suite 308, Homestead, FL 33033
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2213196

Luminary Dermatology PA · North Port, FL
Active · expires Nov 4, 2027
CLIA Number10D2213196
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorMichael G. Foss
Laboratory Phone(941) 926-6553
Laboratory LocationLuminary Dermatology PA3105 Bobcat Villiage Center Rd, North Port, FL 34288
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2213205

Luminary Dermatology PA · Sarasota, FL
Active · expires Aug 15, 2027
CLIA Number10D2213205
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorMichael G. Foss
Laboratory Phone(941) 926-6553
Laboratory LocationLuminary Dermatology PA2032 Hawthorne St, Sarasota, FL 34239
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Luminary Dermatology Of Miami, LLC's NPI number?

The NPI number for Luminary Dermatology Of Miami, LLC is 1114769767. It was assigned to this organization in the NPPES registry on June 12, 2024. The provider is doing business as Luminary Dermatology, PA.

Where is Luminary Dermatology Of Miami, LLC located?

Luminary Dermatology Of Miami, LLC is located at 8740 N Kendall Dr Ste 101, Miami, FL 33176. The listed phone number is (305) 661-8978.

What is Luminary Dermatology Of Miami, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Luminary Dermatology Of Miami, LLC enrolled in Medicare?

Yes. Luminary Dermatology Of Miami, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luminary Dermatology Of Miami, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Luminary Dermatology Of Miami, LLC. A 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 the clinician's services. The largest specialties are Dermatology (8) and Nurse Practitioner (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Luminary Dermatology Of Miami, LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Luminary Dermatology Of Miami, LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) list Luminary Dermatology Of Miami, LLC 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 Luminary Dermatology Of Miami, LLC was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.