CARE DERMATOLOGY AND SKIN CANCER CENTERS
NPI 1891257655
Dermatology - MOHS-Micrographic Surgery in The Villages, FL

Q: What is Orlando Dermatology Clinic, LLC's NPI number?

The NPI number for Orlando Dermatology Clinic, LLC is 1891257655. It was assigned to this organization in the NPPES registry on April 2, 2019. The provider is doing business as Care Dermatology And Skin Cancer Centers.

Q: What is Orlando Dermatology Clinic, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since April 02, 2019

1040 LAKE SUMTER LNDG, THE VILLAGES, FL 32162(352) 218-3211(877) 699-3709 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2020, Apr 20, 2020, Apr 13, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Care Dermatology And Skin Cancer Centers NPPES

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

CARE DERMATOLOGY AND SKIN CANCER CENTERS (NPI 1891257655) is a healthcare organization registered as a mohs-micrographic surgery in The Villages, Florida and active in the NPI registry since April 2019. The organization lists Tarek Samir Shaath, Dermatologist, Llc President, as its authorized official.

NPPES Registry Identity

NPI1891257655

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameORLANDO DERMATOLOGY CLINIC, LLC

Location Address1040 LAKE SUMTER LNDGThe Villages, FL 32162-2697

Mailing Address697 Oak Hollow WayAltamonte Springs, FL 32714-1838 · (785) 760-6740

Phone(352) 218-3211

Fax(877) 699-3709

Organization SubpartNo

Authorized OfficialTarek Samir ShaathDermatologist, Llc President · (785) 760-6740

Enumeration DateApril 2, 2019

Last NPPES UpdateMay 21, 20204 updates tracked since enumeration

NPPES CertifiedMay 21, 2020

✔ NPI 1891257655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

1040 LAKE SUMTER LNDG, The Villages, FL 32162

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Other Names 1

Doing Business AsCare Dermatology And Skin Cancer Centers

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health, Ambetter of Alabama and more.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)

Care Dermatology And Skin Cancer Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Care Dermatology And Skin Cancer Centers, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Sadie Smith, APRN NP-C

Nurse Practitioner

NPI 1366057440

1040 LAKE SUMTER LNDG
The Villages, FL 32162

(352) 218-3211

✔ PECOS✔ Accepts MedicareSame address

Tarek Shaath, MD

Dermatology

NPI 1366823775

1040 LAKE SUMTER LNDG
The Villages, FL 32162

(352) 218-3211

✔ PECOS✔ Accepts MedicareSame address

Krismarie Marrero Ramos, FNP-C

Nurse Practitioner

NPI 1649849902

2970 LOOPDALE LN
Kissimmee, FL 34741

(352) 218-3211

✔ PECOS✔ Accepts Medicare51 mi

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 Orlando Dermatology Clinic, LLC's NPI number?

The NPI number for Orlando Dermatology Clinic, LLC is 1891257655. It was assigned to this organization in the NPPES registry on April 2, 2019. The provider is doing business as Care Dermatology And Skin Cancer Centers.

Where is Orlando Dermatology Clinic, LLC located?

Orlando Dermatology Clinic, LLC is located at 1040 Lake Sumter Lndg, The Villages, FL 32162. The listed phone number is (352) 218-3211.

What is Orlando Dermatology Clinic, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Orlando Dermatology Clinic, LLC enrolled in Medicare?

Yes. Orlando Dermatology Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orlando Dermatology Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Orlando Dermatology Clinic, LLC, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Orlando Dermatology Clinic, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 21 other insurers list Orlando Dermatology Clinic, LLC 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 Orlando Dermatology Clinic, LLC was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.