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RISING SUN DERMATOLOGY & COSMETICS CENTER
NPI 1477337988
Dermatology in St Augustine, FL

Active since August 24, 2023CLIA 10D2308587 · Waiver
665 STATE ROAD 207, ST AUGUSTINE, FL 32084(904) 325-6165(904) 944-3044 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 1, 2024, Aug 24, 2023 (2 updates tracked since 2023).

About Rising Sun Dermatology & Cosmetics Center NPPES

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

RISING SUN DERMATOLOGY & COSMETICS CENTER (NPI 1477337988) is a healthcare organization registered as a dermatology in St Augustine, Florida and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through July 30, 2028 and lists Sami Kameel Saikaly, Dermatologist/manager, as its authorized official.

NPPES Registry Identity

NPI1477337988
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRISING SUN DERMATOLOGY PLLC
Location Address665 STATE ROAD 207St Augustine, FL 32084-5938
Mailing Address665 State Road 207 Ste 108St Augustine, FL 32084-5939 · (904) 325-6165 · Fax (904) 944-3044
Phone(904) 325-6165
Fax(904) 944-3044
Organization SubpartNo
Authorized OfficialSami Kameel SaikalyDermatologist/manager · (904) 377-3471
Enumeration DateAugust 24, 2023
Last NPPES UpdateJanuary 1, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2024
✔ NPI 1477337988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
665 STATE ROAD 207, St Augustine, FL 32084
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Other Names 1

Doing Business AsRising Sun Dermatology & Cosmetics Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Rising Sun Dermatology & Cosmetics Center 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 Rising Sun Dermatology & Cosmetics Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sami Saikaly, M.D.
Dermatology
NPI 1831620004
665 STATE ROAD 207
St Augustine, FL 32084
(904) 325-6165
✔ PECOSSame address

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 Waiver 10D2308587

Rising Sun Dermatology, PLLC · Saint Augustine, FL
Active · expires Jul 30, 2028
CLIA Number10D2308587
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2026
Certificate Expiration DateJuly 30, 2028
Laboratory DirectorSami K. Saikaly
Laboratory Phone(904) 325-6165
Laboratory LocationRising Sun Dermatology, PLLC665 State Road 207 Suite 108, Saint Augustine, FL 32084
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rising Sun Dermatology PLLC's NPI number?

The NPI number for Rising Sun Dermatology PLLC is 1477337988. It was assigned to this organization in the NPPES registry on August 24, 2023. The provider is doing business as Rising Sun Dermatology & Cosmetics Center.

Where is Rising Sun Dermatology PLLC located?

Rising Sun Dermatology PLLC is located at 665 State Road 207, St Augustine, FL 32084. The listed phone number is (904) 325-6165.

What is Rising Sun Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Rising Sun Dermatology PLLC enrolled in Medicare?

Yes. Rising Sun Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rising Sun Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Rising Sun Dermatology PLLC. 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.

Does Rising Sun Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2308587) is associated with this NPI, valid through July 30, 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 Rising Sun Dermatology PLLC was last updated on January 1, 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.