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SUNCOAST SKIN SOLUTIONS
NPI 1487827416
Dermatology in Lutz, FL

Active since April 10, 2008CLIA Certified · 21 labs
4651 VAN DYKE RD, LUTZ, FL 33558(813) 321-1786(813) 321-1787 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Suncoast Skin Solutions NPPES

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

SUNCOAST SKIN SOLUTIONS (NPI 1487827416) is a healthcare organization registered as a dermatology in Lutz, Florida and active in the NPI registry since April 2008. The organization holds 21 active CLIA laboratory certificates and lists Christopher David Ewanowski, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487827416
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUNCOAST SKIN SOLUTIONS
Location Address4651 VAN DYKE RDLutz, FL 33558-4880
Mailing Address18228 N Us Highway 41Lutz, FL 33549-4400 · (813) 321-1786 · Fax (813) 321-1787
Phone(813) 321-1786
Fax(813) 321-1787
Organization SubpartNo
Authorized OfficialChristopher David EwanowskiMedical Director · (813) 321-1786
Enumeration DateApril 10, 2008
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1487827416 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.
4651 VAN DYKE RD, Lutz, FL 33558
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Other Identifiers 1

Medicaid001793700FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Cigna Healthcare and more.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)

Suncoast Skin Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Suncoast Skin Solutions, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology47
Nurse Practitioner15
Pathology5
Micrographic Dermatologic Surgery (MDS)1

Nearest to this location (20)

See all 68
Brooke Baldwin, MD
Dermatology
NPI 1568650661
4651 VAN DYKE RD
Lutz, FL 33558
(813) 321-1786
✔ PECOS✔ Accepts MedicareSame address
Christopher Ewanowski, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1780880476
4651 VAN DYKE RD
Lutz, FL 33558
(813) 321-1786
✔ PECOS✔ Accepts MedicareSame address
Viba Malaiyandi, MD
Dermatology
NPI 1851932479
4651 VAN DYKE RD
Lutz, FL 33558
(813) 321-1786
✔ PECOS✔ Accepts MedicareSame address
Su Xu, MD
Pathology
NPI 1770743593
4915 EHRLICH RD
Tampa, FL 33624
(813) 960-2400
✔ PECOS✔ Accepts Medicare3.1 mi
Bethany Brown, ARNP
Nurse Practitioner
NPI 1912399817
14407 N DALE MABRY HWY
Tampa, FL 33618
(813) 321-1786
✔ PECOS✔ Accepts Medicare3.5 mi
Allison Lowie, ARNP
Nurse Practitioner
NPI 1972747699
5091 LITTLE ROAD
New Port Richey, FL 34655
(727) 849-1447
✔ PECOS✔ Accepts Medicare12 mi
Natalie Monticciolo, D.O.
Dermatology
NPI 1376532895
5091 LITTLE ROAD
New Port Richey, FL 34653
(727) 849-1447
✔ PECOS✔ Accepts Medicare12 mi
Nirav Shah, MD
Dermatology
NPI 1548847130
5091 LITTLE RD
New Port Richey, FL 34655
(813) 321-1786
✔ PECOS✔ Accepts Medicare12 mi
Brandon Basehore, DO
Dermatology
NPI 1598111999
3165 N MCMULLEN BOOTH RD STE C2
Clearwater, FL 33761
(813) 321-1786
✔ PECOS✔ Accepts Medicare13 mi
Sultan Mirza, M.D.
Dermatology
NPI 1790196699
32615 US HIGHWAY 19 N STE 1
Palm Harbor, FL 34684
(813) 321-1786
✔ PECOS✔ Accepts Medicare14 mi
Christie Little, APRN
Nurse Practitioner
NPI 1518493568
2467 ENTERPRISE RD STE A
Clearwater, FL 33763
(813) 321-1786
✔ PECOS✔ Accepts Medicare16 mi
Kimlien Nguyen, ARNP
Nurse Practitioner
NPI 1851774566
2467 ENTERPRISE RD STE A
Clearwater, FL 33763
(813) 321-1786
✔ PECOS✔ Accepts Medicare16 mi
Susan Roper, M.D.
Dermatology
NPI 1114039732
2467 ENTERPRISE RD STE A
Clearwater, FL 33763
(727) 791-1411
✔ PECOS✔ Accepts Medicare16 mi
Teresa Bowman, ARNP
Nurse Practitioner
NPI 1831321793
2329 SUNSET POINT RD STE 201
Clearwater, FL 33765
(813) 321-1786
✔ PECOS✔ Accepts Medicare17 mi
Kathleen Colorado, M.D.
Dermatology
NPI 1336137694
507 OAKFIELD DR
Brandon, FL 33511
(813) 661-6667
✔ PECOS✔ Accepts Medicare19 mi
May Ko, APRN
Nurse Practitioner
NPI 1528447653
500 VONDERBURG DR STE 115W
Brandon, FL 33511
(813) 321-1786
✔ PECOS✔ Accepts Medicare20 mi
Nicole Lewandrowski, MD
Pathology
NPI 1942839832
500 VONDERBURG DR STE 302E
Brandon, FL 33511
(813) 321-1786
✔ PECOS✔ Accepts Medicare20 mi
Stephen Lockwood, MD
Dermatology
NPI 1396129128
500 VONDERBURG DR STE 115W
Brandon, FL 33511
(813) 321-1786
✔ PECOS✔ Accepts Medicare20 mi
Jennifer Hickman, APRN
Nurse Practitioner
NPI 1083162135
8787 BRYAN DAIRY RD STE 360
Largo, FL 33777
(813) 321-1786
✔ PECOS✔ Accepts Medicare23 mi
Howard Hirschfield, MSN-ARNP
Nurse Practitioner
NPI 1306982541
8787 BRYAN DAIRY RD STE 360
Largo, FL 33777
(813) 321-1786
✔ PECOS✔ Accepts Medicare23 mi
See all 68 clinicians

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 21

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 10D1087523

Suncoast Skin Solutions Inc · Lutz, FL
Active · expires Sep 15, 2028
CLIA Number10D1087523
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2026
Certificate Expiration DateSeptember 15, 2028
Laboratory DirectorDr. Christopher D. Ewanowski
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc4651 Van Dyke Rd, Lutz, FL 33558
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D1039559

Suncoast Skin Solutions, Inc · Sarasota, FL
Active · expires Oct 9, 2028
CLIA Number10D1039559
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2026
Certificate Expiration DateOctober 9, 2028
Laboratory DirectorDr. Nicole E. Lewandrowski
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions, Inc2001 Siesta Dr Suite 201, Sarasota, FL 34239
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D0272561

Suncoast Skin Solutions Inc · Lecanto, FL
Active · expires Sep 29, 2028
CLIA Number10D0272561
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2026
Certificate Expiration DateSeptember 29, 2028
Laboratory DirectorDr. Ralph E. Massullo Jr
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc525 North Dacie Point, Lecanto, FL 34461
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D0690863

Suncoast Skin Solutions Inc · Clearwater, FL
Active · expires Sep 26, 2028
CLIA Number10D0690863
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2026
Certificate Expiration DateSeptember 26, 2028
Laboratory DirectorDr. Spencer A. Bezalel
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc2467 Enterprise Road Suite A, Clearwater, FL 33763
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2250851

Suncoast Skin Solutions Inc · Punta Gorda, FL
Active · expires Sep 21, 2028
CLIA Number10D2250851
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorNicole E. Lewandrowski
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc25097 Olympia Ave Ste 202, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D1087510

Suncoast Skin Solutions Inc · Largo, FL
Active · expires Sep 15, 2028
CLIA Number10D1087510
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2026
Certificate Expiration DateSeptember 15, 2028
Laboratory DirectorDr. Christopher D. Ewanowski
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc11200 Seminole Blvd Ste 205, Largo, FL 33778
CLIA data matches this NPI record on: Name Phone
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 Suncoast Skin Solutions's NPI number?

The NPI number for Suncoast Skin Solutions is 1487827416. It was assigned to this organization in the NPPES registry on April 10, 2008.

Where is Suncoast Skin Solutions located?

Suncoast Skin Solutions is located at 4651 Van Dyke Rd, Lutz, FL 33558. The listed phone number is (813) 321-1786.

What is Suncoast Skin Solutions's specialty?

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

Is Suncoast Skin Solutions enrolled in Medicare?

Yes. Suncoast Skin Solutions is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suncoast Skin Solutions?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 4 Medicare specialties reassign their Medicare billing to Suncoast Skin Solutions. 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 Dermatology (47), Nurse Practitioner (15) and Pathology (5). 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 Suncoast Skin Solutions hold CLIA laboratory certificates?

Yes. 21 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 Suncoast Skin Solutions accept?

Health plans from AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Suncoast Skin Solutions 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 Suncoast Skin Solutions was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.