CITRUS PARK DERMATOLOGY, PA
NPI 1174703318
Dermatology in Tampa, FL
About Citrus Park Dermatology, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITRUS PARK DERMATOLOGY, PA (NPI 1174703318) is a healthcare organization registered as a dermatology in Tampa, Florida and active in the NPI registry since November 2007. The organization lists Kimberly E. Smith, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Citrus Park Dermatology, Pa 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 Citrus Park Dermatology, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Citrus Park Dermatology, PA's NPI number?
The NPI number for Citrus Park Dermatology, PA is 1174703318. It was assigned to this organization in the NPPES registry on November 5, 2007.
Where is Citrus Park Dermatology, PA located?
Citrus Park Dermatology, PA is located at 6540 Gunn Hwy, Tampa, FL 33625. The listed phone number is (813) 269-4122.
What is Citrus Park Dermatology, PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Citrus Park Dermatology, PA enrolled in Medicare?
Yes. Citrus Park Dermatology, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Citrus Park Dermatology, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Citrus Park Dermatology, PA. 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.
What insurance does Citrus Park Dermatology, PA accept?
Health plans from AvMed list Citrus Park Dermatology, PA 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 Citrus Park Dermatology, PA was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.