ORLANDO DERMATOLOGY CENTER
NPI 1174078281
Dermatology in Oviedo, FL
About Orlando Dermatology Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORLANDO DERMATOLOGY CENTER (NPI 1174078281) is a healthcare organization registered as a dermatology in Oviedo, Florida and active in the NPI registry since August 2016. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Vitaly Blatnoy, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 3
Other Identifiers 1
Group Practice 1
Accepted 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)
Orlando Dermatology Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Orlando Dermatology Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
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 3
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 Accreditation 10D2164056
Dermatology And Skin Cancer Surgery Center LLC · Lake Mary, FLCertificate of Waiver 10D2300847
Dermatology And Skin Cancer Surgery Center LLC · Casselberry, FLCertificate of Accreditation 10D2102880
Dermatology And Skin Cancer Surgery Center LLC · Orlando, FLFrequently 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 Dermatology And Skin Cancer Surgery Center, LLC's NPI number?
The NPI number for Dermatology And Skin Cancer Surgery Center, LLC is 1174078281. It was assigned to this organization in the NPPES registry on August 18, 2016. The provider is doing business as Orlando Dermatology Center.
Where is Dermatology And Skin Cancer Surgery Center, LLC located?
Dermatology And Skin Cancer Surgery Center, LLC is located at 7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765. The listed phone number is (407) 706-1770.
What is Dermatology And Skin Cancer Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology And Skin Cancer Surgery Center, LLC enrolled in Medicare?
Yes. Dermatology And Skin Cancer Surgery Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology And Skin Cancer Surgery Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Dermatology And Skin Cancer Surgery Center, 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 Nurse Practitioner (5), Dermatology (3) and Obstetrics/Gynecology (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology And Skin Cancer Surgery Center, LLC hold CLIA laboratory certificates?
Yes. 3 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 Dermatology And Skin Cancer Surgery Center, LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Dermatology And Skin Cancer Surgery Center, 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 Dermatology And Skin Cancer Surgery Center, LLC was last updated on July 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.
# Orlando Dermatology Center · NPI 1174078281
Dermatology organization in Oviedo, Florida. Organization record, active in the CMS NPPES registry since August 18, 2016.
## Identity
- **NPI:** 1174078281 (Entity type: Organization)
- **Enumerated:** August 18, 2016
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Dermatology And Skin Cancer Surgery Center, Llc
- **Organization subpart:** No
- **Authorized official:** Vitaly Blatnoy, OWNER
## Practice location
- **Address:** 7560 RED BUG LAKE RD STE 1014, Oviedo, FL 32765-6591
- **Phone:** (407) 706-1770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Dermatology (3), Obstetrics/Gynecology (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2024
- **Other identifiers:** Medicaid 001633600 (FL)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174078281) · Data from the CMS NPPES public registry.