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TREASURE COAST DERMATOLOGY
NPI 1659339497
Dermatology in Port St Lucie, FL

Active since May 02, 2006CLIA 10D0978937 · Certificate of Compliance
140 SW CHAMBER CT, SUITE 200, PORT ST LUCIE, FL 34986(772) 878-3376(772) 879-9970 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Treasure Coast Dermatology NPPES

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

TREASURE COAST DERMATOLOGY (NPI 1659339497) is a healthcare organization registered as a dermatology in Port St Lucie, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 10, 2027 and lists Tim Ioannides, Owner, as its authorized official.

NPPES Registry Identity

NPI1659339497
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTIM IOANNIDES MD LLC
Location Address140 SW CHAMBER CT, SUITE 200Port St Lucie, FL 34986-3414
Mailing Address140 Sw Chamber Ct, Suite 200Port St Lucie, FL 34986-3414 · (772) 878-3376 · Fax (772) 879-9970
Phone(772) 878-3376
Fax(772) 879-9970
Organization SubpartNo
Authorized OfficialTim IoannidesOwner · (772) 878-3376
Enumeration DateMay 2, 2006
Last NPPES UpdateDecember 22, 2011
✔ NPI 1659339497 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.
140 SW CHAMBER CT, Port St Lucie, FL 34986
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Other Names 1

Doing Business AsTreasure Coast Dermatology

Other Identifiers 3

Other74907FL · Bcbs Group #
OtherDA2154FL · Railroad Medicare
Medicare ID-Type UnspecifiedK4485FL · Medicare Group#

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)

Treasure Coast Dermatology 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 Treasure Coast Dermatology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tim Ioannides, MD
Dermatology
NPI 1952369779
140 SW CHAMBER CT SUITE 200
Port Saint Lucie, FL 34986
(772) 878-3376
✔ 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 10D0978937

Treasure Coast Dermatology · Port Saint Lucie, FL
Active · expires Jan 10, 2027
CLIA Number10D0978937
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorTim Ioannides
Laboratory Phone(772) 878-3376
Laboratory LocationTreasure Coast Dermatology140 SW Chamber Ct Ste 200, Port Saint Lucie, FL 34986
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 Tim Ioannides MD LLC's NPI number?

The NPI number for Tim Ioannides MD LLC is 1659339497. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is doing business as Treasure Coast Dermatology.

Where is Tim Ioannides MD LLC located?

Tim Ioannides MD LLC is located at 140 SW Chamber Ct Suite 200, Port St Lucie, FL 34986. The listed phone number is (772) 878-3376.

What is Tim Ioannides MD LLC's specialty?

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

Is Tim Ioannides MD LLC enrolled in Medicare?

Yes. Tim Ioannides MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tim Ioannides MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Tim Ioannides MD LLC. 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 Tim Ioannides MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0978937) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tim Ioannides MD LLC was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.