ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1528097284
Dermatology in Heathrow, FL
About Advanced Dermatology And Cosmetic Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY AND COSMETIC SURGERY (NPI 1528097284) is a healthcare organization registered as a dermatology in Heathrow, Florida and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Amy Declue, Director Of Provider Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Names 1
Other Identifiers 5
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)
Advanced Dermatology And Cosmetic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
115Medicare enrollment records show 115 clinicians reassign Medicare billing to Advanced Dermatology And Cosmetic Surgery, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 115Heathrow, FL 32746
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 Accreditation 10D0973519
Advanced Dermatology & Cosmetic Surgery · Heathrow, 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 Leavitt Medical Associates Of Florida Inc's NPI number?
The NPI number for Leavitt Medical Associates Of Florida Inc is 1528097284. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Advanced Dermatology And Cosmetic Surgery.
Where is Leavitt Medical Associates Of Florida Inc located?
Leavitt Medical Associates Of Florida Inc is located at 120 International Pkwy 240, Heathrow, FL 32746. The listed phone number is (407) 333-4200.
What is Leavitt Medical Associates Of Florida Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Leavitt Medical Associates Of Florida Inc enrolled in Medicare?
Yes. Leavitt Medical Associates Of Florida Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Leavitt Medical Associates Of Florida Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 7 Medicare specialties reassign their Medicare billing to Leavitt Medical Associates Of Florida Inc. 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 (63), Nurse Practitioner (35) and Plastic and Reconstructive Surgery (8). Of these, 3 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Leavitt Medical Associates Of Florida Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 10D0973519) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Leavitt Medical Associates Of Florida Inc accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Leavitt Medical Associates Of Florida Inc 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 Leavitt Medical Associates Of Florida Inc was last updated on August 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Advanced Dermatology And Cosmetic Surgery · NPI 1528097284
Dermatology organization in Heathrow, Florida. Organization record, active in the CMS NPPES registry since July 2, 2006.
## Identity
- **NPI:** 1528097284 (Entity type: Organization)
- **Enumerated:** July 2, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Leavitt Medical Associates Of Florida Inc
- **Organization subpart:** No
- **Authorized official:** Amy Declue, DIRECTOR OF PROVIDER SERVICES
## Practice location
- **Address:** 120 INTERNATIONAL PKWY, 240, Heathrow, FL 32746-5031
- **Phone:** (407) 333-4200 · **Fax:** (407) 829-6637
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 115 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (63), Nurse Practitioner (35), Plastic and Reconstructive Surgery (8); 3 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1528097284/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2017
- **Other identifiers:** Medicare PIN 98046B (FL); Medicare PIN 98046H (FL); Medicaid 256877200 (FL); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528097284) · Data from the CMS NPPES public registry.