ELITE MEDICINE AND AESTHETIC INSTITUTE
NPI 1154735819
Family Medicine in Boca Raton, FL

Q: What is Elite Dermatology And Aesthetic Institute, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 20, 2014CLIA 10D2098860 · Waiver

1905 CLINT MOORE RD, SUITE 203, BOCA RATON, FL 33496(561) 826-6650(561) 826-6649 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Elite Medicine And Aesthetic Institute NPPES

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

ELITE MEDICINE AND AESTHETIC INSTITUTE (NPI 1154735819) is a healthcare organization registered as a family medicine in Boca Raton, Florida and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Fawn Winkelman, President, as its authorized official.

NPPES Registry Identity

NPI1154735819

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameELITE DERMATOLOGY AND AESTHETIC INSTITUTE, LLC

Location Address1905 CLINT MOORE RD, SUITE 203Boca Raton, FL 33496-2658

Mailing Address1905 Clint Moore Rd, Suite 203Boca Raton, FL 33496-2658 · (561) 826-6650 · Fax (561) 826-6649

Phone(561) 826-6650

Fax(561) 826-6649

Organization SubpartNo

Authorized OfficialFawn WinkelmanPresident · (561) 826-6650

Enumeration DateJune 20, 2014

Last NPPES UpdateNovember 19, 2015

✔ NPI 1154735819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS1629

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1905 CLINT MOORE RD, Boca Raton, FL 33496

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Other Names 1

Doing Business AsElite Medicine And Aesthetic Institute

Other Identifiers 1

Other11877AFL · Medicare Ptan

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..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)

Elite Medicine And Aesthetic Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elite Medicine And Aesthetic Institute, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fawn Winkelman, DO

Family Practice

NPI 1700192796

1905 CLINT MOORE RD SUITE 203
Boca Raton, FL 33496

(561) 826-6650

✔ PECOS✔ Accepts MedicareSame address

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

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 Waiver 10D2098860

Elite Medicine And Aesthetic Institute · Boca Raton, FL

Active · expires Jul 15, 2027

CLIA Number10D2098860

Laboratory TypePhysician Office

Certificate Effective DateJuly 16, 2025

Certificate Expiration DateJuly 15, 2027

Laboratory DirectorFawn Winkelman

Laboratory Phone(561) 826-6650

Laboratory LocationElite Medicine And Aesthetic Institute1905 Clint Moore Rd Ste 203, Boca Raton, FL 33496

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Elite Dermatology And Aesthetic Institute, LLC's NPI number?

The NPI number for Elite Dermatology And Aesthetic Institute, LLC is 1154735819. It was assigned to this organization in the NPPES registry on June 20, 2014. The provider is doing business as Elite Medicine And Aesthetic Institute.

Where is Elite Dermatology And Aesthetic Institute, LLC located?

Elite Dermatology And Aesthetic Institute, LLC is located at 1905 Clint Moore Rd Suite 203, Boca Raton, FL 33496. The listed phone number is (561) 826-6650.

What is Elite Dermatology And Aesthetic Institute, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elite Dermatology And Aesthetic Institute, LLC enrolled in Medicare?

Yes. Elite Dermatology And Aesthetic Institute, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Dermatology And Aesthetic Institute, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Elite Dermatology And Aesthetic Institute, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Dermatology And Aesthetic Institute, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2098860) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elite Dermatology And Aesthetic Institute, LLC accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Elite Dermatology And Aesthetic Institute, 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 Elite Dermatology And Aesthetic Institute, LLC was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.