NYANDA DERMATOLOGY
NPI 1881349611
Dermatology in Wesley Chapel, FL

Active since February 21, 2022CLIA 10D2259177 · Certificate of Compliance
26809 TANIC DR STE 101, WESLEY CHAPEL, FL 33544(813) 435-5199(813) 796-5389 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nyanda Dermatology NPPES

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

NYANDA DERMATOLOGY (NPI 1881349611) is a healthcare organization registered as a dermatology in Wesley Chapel, Florida and active in the NPI registry since February 2022. The organization holds a CLIA Certificate of Compliance certificate valid through June 22, 2028 and lists Lisa Nyanda-manalo, Owner, as its authorized official.

NPPES Registry Identity

NPI1881349611
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWILLNATH MEDICAL PLLC
Location Address26809 TANIC DR STE 101Wesley Chapel, FL 33544-4605
Mailing Address26809 Tanic Dr Ste 101Wesley Chapel, FL 33544-4605 · (813) 435-5199 · Fax (813) 796-5389
Fax(813) 796-5389
Organization SubpartNo
Authorized OfficialLisa Nyanda-manaloOwner · (813) 435-5199
Enumeration DateFebruary 21, 2022
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1881349611 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.
26809 TANIC DR STE 101, Wesley Chapel, FL 33544

Other Names 1

Doing Business AsNyanda 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

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)

Nyanda Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Nyanda Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1023187960
26809 TANIC DR STE 101
Wesley Chapel, FL 33544
(813) 435-5199
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700328515
202 LAKE MIRIAM DR STE 1
Lakeland, FL 33813
(863) 647-2333
✔ PECOS✔ Accepts Medicare29 mi
Dermatology
NPI 1548495955
1991 DANIELS RD
Winter Garden, FL 34787
(407) 395-3770
✔ PECOS✔ Accepts Medicare54 mi

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 10D2259177

Willnath Medical PLLC Dba Nyanda Dermatology · Wesley Chapel, FL
Active · expires Jun 22, 2028
CLIA Number10D2259177
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorMichael Wangia
Laboratory Phone(813) 435-5199
Laboratory LocationWillnath Medical PLLC Dba Nyanda Dermatology26809 Tanic Dr Suite 101, Wesley Chapel, FL 33544
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 Willnath Medical PLLC's NPI number?

The NPI number for Willnath Medical PLLC is 1881349611. It was assigned to this organization in the NPPES registry on February 21, 2022. The provider is doing business as Nyanda Dermatology.

Where is Willnath Medical PLLC located?

Willnath Medical PLLC is located at 26809 Tanic Dr Ste 101, Wesley Chapel, FL 33544. The listed phone number is (813) 435-5199.

What is Willnath Medical PLLC's specialty?

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

Is Willnath Medical PLLC enrolled in Medicare?

Yes. Willnath Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willnath Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Willnath Medical PLLC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Willnath Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2259177) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Willnath Medical PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Willnath Medical PLLC 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 Willnath Medical PLLC was last updated on March 30, 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.