INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC
NPI 1164165296
Clinic/Center - Oncology in Sarasota, FL

NPI Status: Active since April 17, 2022

Contact Information

1617 S TUTTLE AVE FL 3
SARASOTA, FL
ZIP 34239
Phone: (941) 499-0199
Fax: (941) 200-4021

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  • Organization
  • Clinic/Center
  • Oncology
  • CLIA Number: 10D2277655
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-15-2026

About INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC

This page provides the complete NPI Profile along with additional information for Institute Of Dermatology & Oculoplastic Surgery Pllc, a provider established in Sarasota, Florida operating as a Clinic/center, focusing in oncology . The healthcare provider is registered in the NPI registry with number 1164165296 assigned on April 2022. The practitioner's primary taxonomy code is 261QX0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Institute Of Dermatology & Oculoplastic Surgery Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ilya Lim Md (Co-owner)

NPI
1164165296
Provider Name
INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC
Entity Type
Organization
Location Address
1617 S TUTTLE AVE FL 3 SARASOTA, FL 34239
Location Phone
(941) 499-0199
Location Fax
(941) 200-4021
Mailing Address
PO BOX 15853 SARASOTA, FL 34277
Mailing Phone
(941) 499-0199
Mailing Fax
(941) 200-4021
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-17-2022
Last Update Date
10-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oncology

Taxonomy Code
261QX0200X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

 
2207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

 
3207WX0200XAllopathic & Osteopathic Physicians

Ophthalmology
Ophthalmic Plastic and Reconstructive Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ILYA LIM MD

Authorized Official Title
CO-OWNER
Authorized Official Phone
(941) 499-0199

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2277655
Facility Type
Physician Office
Certificate Effective Date
January 16, 2024
Certificate Expiration Date
January 15, 2026
Laboratory Director
ILYA LIM
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Institute Of Dermatology & Oculoplastic Surgery Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164165296, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 2 + 6 + 1 + 0 + 2 + 1 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1164165296.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dermatology
1617 S TUTTLE AVE FL 3
SARASOTA, FL 34239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164165296, enumerated as an "organization" on April 17, 2022.

The provider is located at 1617 S TUTTLE AVE FL 3 SARASOTA, FL 34239 and the phone number is (941) 499-0199.

Clinic/Center with taxonomy code 261QX0200X and a focus in Oncology.