REJUVA DERMATOLOGY & VEIN CENTER, LLC
NPI 1316522691
Dermatology in Venice, FL
About Rejuva Dermatology & Vein Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REJUVA DERMATOLOGY & VEIN CENTER, LLC (NPI 1316522691), doing business as Dermatology Associates, is a healthcare organization registered as a dermatology in Venice, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Certificate of Compliance certificate valid through April 17, 2028 and lists Golta Rasouli, Co-presendent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rejuva Dermatology & Vein Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Rejuva Dermatology & Vein Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 10D2235709
Rejuva Dermatology & Vein Center PLLC · Venice, 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 Rejuva Dermatology & Vein Center, LLC's NPI number?
The NPI number for Rejuva Dermatology & Vein Center, LLC is 1316522691. It was assigned to this organization in the NPPES registry on March 17, 2021. The provider is doing business as Dermatology Associates.
Where is Rejuva Dermatology & Vein Center, LLC located?
Rejuva Dermatology & Vein Center, LLC is located at 395 Commercial Ct Ste C, Venice, FL 34292. The listed phone number is (941) 529-0070.
What is Rejuva Dermatology & Vein Center, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Rejuva Dermatology & Vein Center, LLC enrolled in Medicare?
Yes. Rejuva Dermatology & Vein Center, LLC is registered in the Medicare PECOS enrollment system.
When is Rejuva Dermatology & Vein Center, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Rejuva Dermatology & Vein Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Rejuva Dermatology & Vein Center, LLC, in Dermatology, Internal Medicine, Nurse Practitioner, Ophthalmology and Otolaryngology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rejuva Dermatology & Vein Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D2235709) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rejuva Dermatology & Vein Center, LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rejuva Dermatology & Vein 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 Rejuva Dermatology & Vein Center, LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Rejuva Dermatology & Vein Center, Llc · NPI 1316522691
Dermatology organization in Venice, Florida. Organization record, active in the CMS NPPES registry since March 17, 2021.
## Identity
- **NPI:** 1316522691 (Entity type: Organization)
- **Enumerated:** March 17, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Also known as:** Dermatology Associates (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Golta Rasouli, CO-PRESENDENT
## Practice location
- **Address:** 395 COMMERCIAL CT STE C, Venice, FL 34292-1651
- **Phone:** (941) 529-0070 · **Fax:** (941) 529-0539
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Dermatology (1), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316522691) · Data from the CMS NPPES public registry.