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MSDERMATOLOGY PLLC
NPI 1518691252
Dermatology in Boynton Beach, FL

Active since July 09, 2022CLIA 10D2119543 · Certificate of Compliance
10075 S JOG RD STE 306, BOYNTON BEACH, FL 33437(561) 424-7546 Get Directions Write a Review

NPPES record last updated: July 9, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Msdermatology Pllc NPPES

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

MSDERMATOLOGY PLLC (NPI 1518691252), doing business as Mohs And Skin Dermatology, is a healthcare organization registered as a dermatology in Boynton Beach, Florida and active in the NPI registry since July 2022. The organization holds a CLIA Certificate of Compliance certificate valid through December 19, 2026 and lists Michael Ian Shiman, Authorized Member, as its authorized official.

NPPES Registry Identity

NPI1518691252
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMSDERMATOLOGY PLLC
Location Address10075 S JOG RD STE 306Boynton Beach, FL 33437-3537
Mailing Address10075 S Jog Rd Ste 306Boynton Beach, FL 33437-3537 · (561) 424-7546
Phone(561) 424-7546
Organization SubpartNo
Authorized OfficialMichael Ian ShimanAuthorized Member · (561) 424-7546
Enumeration DateJuly 9, 2022
NPPES CertifiedJuly 9, 2022
✔ NPI 1518691252 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.
10075 S JOG RD STE 306, Boynton Beach, FL 33437
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Other Names 1

Doing Business AsMohs And Skin Dermatology

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)

Msdermatology Pllc 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 Msdermatology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Shiman, M.D.
Dermatology
NPI 1285876151
10075 S JOG RD STE 306
Boynton Beach, FL 33437
(561) 424-7546
✔ PECOS✔ Accepts MedicareSame 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 Compliance 10D2119543

Msdermatology PLLC · Boynton Beach, FL
Active · expires Dec 19, 2026
CLIA Number10D2119543
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorDr. Michael I. Shiman
Laboratory Phone(561) 424-7546
Laboratory LocationMsdermatology PLLC10075 S Jog Rd Ste 306, Boynton Beach, FL 33437
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.

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 Msdermatology PLLC's NPI number?

The NPI number for Msdermatology PLLC is 1518691252. It was assigned to this organization in the NPPES registry on July 9, 2022. The provider is doing business as Mohs and Skin Dermatology.

Where is Msdermatology PLLC located?

Msdermatology PLLC is located at 10075 S Jog Rd Ste 306, Boynton Beach, FL 33437. The listed phone number is (561) 424-7546.

What is Msdermatology PLLC's specialty?

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

Is Msdermatology PLLC enrolled in Medicare?

Yes. Msdermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Msdermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Msdermatology 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 Msdermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2119543) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Msdermatology PLLC was last updated on July 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.