ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1619287844
Plastic Surgery in Melbourne, FL

Q: What is Leavitt Medical Associates Of Florida Inc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since October 21, 2010

1513 S HARBOR CITY BLVD, MELBOURNE, FL 32901(321) 951-2639(866) 948-8094 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

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 1619287844) is a healthcare organization registered as a plastic surgery in Melbourne, Florida and active in the NPI registry since October 2010. The organization lists Nefrita Logan, Rep, as its authorized official.

NPPES Registry Identity

NPI1619287844

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC

Location Address1513 S HARBOR CITY BLVDMelbourne, FL 32901-4681

Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 875-0518

Phone(321) 951-2639

Fax(866) 948-8094

Organization SubpartYesParent: Leavitt Medical Associates Of Florida Ince

Authorized OfficialNefrita LoganRep · (407) 875-2080

Enumeration DateOctober 21, 2010

Last NPPES UpdateOctober 2, 2013

✔ NPI 1619287844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedDermatologyTaxonomy 207N00000X

1513 S HARBOR CITY BLVD, Melbourne, FL 32901

Open in Google Maps ↗

Other Names 1

Doing Business AsAdvanced Dermatology And Cosmetic Surgery

Other Identifiers 1

Medicare PIN98046HFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

115

Medicare enrollment records show 115 clinicians reassign Medicare billing to Advanced Dermatology And Cosmetic Surgery, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Dermatology63

Nurse Practitioner35

Plastic and Reconstructive Surgery8

Pathology5

Micrographic Dermatologic Surgery (MDS)2

Otolaryngology1

Physician Assistant1

Nearest to this location (20)

See all 115

Alexandra Grammenos, DO

Dermatology

NPI 1477059590

2305 VIDINA DR STE 102
Melbourne, FL 32940

(321) 441-8332

✔ PECOS✔ Accepts Medicare12 mi

Evdakiya Deiner, APRN

Nurse Practitioner

NPI 1457755795

484 US HIGHWAY 1 STE C
Sebastian, FL 32958

(772) 646-6100

✔ PECOS✔ Accepts Medicare21 mi

Angela Wipf, MD

Dermatology

NPI 1831752211

3755 7TH TER STE 101
Vero Beach, FL 32960

(772) 569-5056

✔ PECOS✔ Accepts Medicare32 mi

Mary Collins

Nurse Practitioner

NPI 1588537583

3755 7TH TER STE 101
Vero Beach, FL 32960

(772) 569-5056

✔ PECOS✔ Accepts Medicare32 mi

Patrick Ottuso, M D F A A D

Dermatology

NPI 1386627867

1955 22ND AVE
Vero Beach, FL 32960

(772) 299-0085

✔ PECOS33 mi

Savina Aneja

Dermatology

NPI 1184985996

9368 NARCOOSSEE RD STE 104
Orlando, FL 32827

(407) 745-1966

✔ PECOS✔ Accepts Medicare46 mi

Valenie Rivera Roig, M.D.

Dermatology

NPI 1295784957

14050 TOWN LOOP BLVD SUITE 203
Orlando, FL 32837

(407) 852-6650

✔ PECOS✔ Accepts Medicare53 mi

Sean Singh, MD

Dermatology

NPI 1104359363

1555 NW SAINT LUCIE WEST BLVD STE 101
Port St Lucie, FL 34986

(772) 318-4945

✔ PECOS✔ Accepts Medicare55 mi

Jere Mammino, DO

Dermatology

NPI 1336259886

1410 W BROADWAY ST STE 102
Oviedo, FL 32765

(407) 359-2100

✔ PECOS✔ Accepts Medicare55 mi

Jason Kieffer, MD

Dermatology

NPI 1215277454

1410 W BROADWAY ST STE 205
Oviedo, FL 32765

(866) 400-3376

✔ PECOS✔ Accepts Medicare55 mi

Adrianna Mills

Nurse Practitioner

NPI 1962022798

2915 LAKEVIEW DR STE 2021
Fern Park, FL 32730

(866) 400-3376

✔ PECOS✔ Accepts Medicare60 mi

Dilan Ipek

Nurse Practitioner

NPI 1952188633

4970 S US HIGHWAY 17/92
Casselberry, FL 32707

(407) 635-8012

✔ PECOS✔ Accepts Medicare60 mi

Shreyal Patel

Nurse Practitioner

NPI 1992381198

151 SOUTHHALL LN STE 300
Maitland, FL 32751

(407) 875-2080

✔ PECOS✔ Accepts Medicare61 mi

Nicole Cabbad, M.D., M.B.A.

Plastic and Reconstructive Surgery

NPI 1306133004

120 INTERNATIONAL PKWY
Lake Mary, FL 32746

(866) 400-3376

✔ PECOS✔ Accepts Medicare66 mi

Lauren Leavitt, PA

Physician Assistant

NPI 1457789307

120 INTERNATIONAL PARKWAY SUITE 300
Heathrow, FL 32746

(407) 333-4200

✔ PECOS✔ Accepts Medicare66 mi

Michael Burton, M.D.

Plastic and Reconstructive Surgery

NPI 1184850018

120 INTERNATIONAL PKWY SUITE 240
Heathrow, FL 32746

(407) 333-4200

✔ PECOS✔ Accepts Medicare66 mi

Julie Goldstein

Nurse Practitioner

NPI 1275176042

15222 BOOK CLUB RD
Winter Garden, FL 34787

(954) 214-1167

✔ PECOS✔ Accepts Medicare67 mi

Mandy Moore, ARNP

Nurse Practitioner

NPI 1396168118

1920 DON WICKHAM DRIVE SUIT 330
Clermont, FL 34711

(352) 241-4298

✔ PECOS✔ Accepts Medicare75 mi

Maria Moreno Cabasos, NP

Nurse Practitioner

NPI 1780148346

1920 DON WICKHAM DR
Clermont, FL 34711

(866) 400-3376

✔ PECOS✔ Accepts Medicare75 mi

Kenneth Phillips, MD

Plastic and Reconstructive Surgery

NPI 1306924022

202 LAKE MIRIAM DR UNIT 1
Lakeland, FL 33813

(866) 400-3376

✔ PECOS✔ Accepts Medicare83 mi

See all 115 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Leavitt Medical Associates Of Florida Inc's NPI number?

The NPI number for Leavitt Medical Associates Of Florida Inc is 1619287844. It was assigned to this organization in the NPPES registry on October 21, 2010. 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 1513 S Harbor City Blvd, Melbourne, FL 32901. The listed phone number is (321) 951-2639.

What is Leavitt Medical Associates Of Florida Inc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Leavitt Medical Associates Of Florida Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.