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

Active since April 17, 2022CLIA 10D2277655 · Certificate of Compliance
1617 S TUTTLE AVE FL 3, SARASOTA, FL 34239(941) 499-0199(941) 200-4021 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2023, Nov 7, 2022, May 9, 2022 and 2 more (5 updates tracked since 2022).

About Institute Of Dermatology & Oculoplastic Surgery Pllc NPPES

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

INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC (NPI 1164165296) is a healthcare organization registered as an oncology in Sarasota, Florida and active in the NPI registry since April 2022. The organization holds a CLIA Certificate of Compliance certificate valid through January 15, 2028 and lists Ilya Lim, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1164165296
Entity TypeOrganization
Primary Taxonomy261QX0200X
Legal Business NameINSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC
Location Address1617 S TUTTLE AVE FL 3Sarasota, FL 34239-3132
Mailing AddressPo Box 15853Sarasota, FL 34277-1853 · (941) 499-0199 · Fax (941) 200-4021
Fax(941) 200-4021
Organization SubpartYesParent: Institute Of Dermatology & Oculoplastic Surgery
Authorized OfficialIlya LimCo-owner · (941) 499-0199
Enumeration DateApril 17, 2022
Last NPPES UpdateOctober 10, 20235 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1164165296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · OncologyAmbulatory Health Care Facilities
Taxonomy Code261QX0200X
Definition
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.
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1617 S TUTTLE AVE FL 3, Sarasota, FL 34239

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Institute Of Dermatology & Oculoplastic Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Institute Of Dermatology & Oculoplastic Surgery PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1235450479
1617 S TUTTLE AVE FL 3
Sarasota, FL 34239
(941) 559-7999
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1073821856
1617 S. TUTTLE AVE SUITE 3
Sarasota, FL 34239
(941) 499-0199
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1376779710
1250 S TAMIAMI TRL STE 304
Sarasota, FL 34239
(941) 926-6553
✔ PECOS✔ Accepts Medicare1.0 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

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 10D2277655

Institute Of Dermatology & Oculoplastic Surgery PLLC · Sarasota, FL
Active · expires Jan 15, 2028
CLIA Number10D2277655
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorIlya Lim
Laboratory Phone(941) 559-7999
Laboratory LocationInstitute Of Dermatology & Oculoplastic Surgery PLLC1617 South Tuttle Ave Floor 3, Sarasota, FL 34239
CLIA data matches this NPI record on: Address Name
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 Institute Of Dermatology & Oculoplastic Surgery PLLC's NPI number?

The NPI number for Institute Of Dermatology & Oculoplastic Surgery PLLC is 1164165296. It was assigned to this organization in the NPPES registry on April 17, 2022.

Where is Institute Of Dermatology & Oculoplastic Surgery PLLC located?

Institute Of Dermatology & Oculoplastic Surgery PLLC is located at 1617 S Tuttle Ave Fl 3, Sarasota, FL 34239. The listed phone number is (941) 499-0199.

What is Institute Of Dermatology & Oculoplastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, with taxonomy code 261QX0200X.

Is Institute Of Dermatology & Oculoplastic Surgery PLLC enrolled in Medicare?

Yes. Institute Of Dermatology & Oculoplastic Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Institute Of Dermatology & Oculoplastic Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Institute Of Dermatology & Oculoplastic Surgery PLLC, in Dermatology and Ophthalmology. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Institute Of Dermatology & Oculoplastic Surgery PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2277655) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Institute Of Dermatology & Oculoplastic Surgery PLLC was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.