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VISAGE DERMATOLOGY, LLC
NPI 1932200045
Specialist in St Petersburg, FL

Active since September 25, 2006CLIA Certified · 2 labs
5253 CENTRAL AVE, ST PETERSBURG, FL 33710(727) 388-6982 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Visage Dermatology, Llc NPPES

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

VISAGE DERMATOLOGY, LLC (NPI 1932200045) is a healthcare organization registered as a specialist in St Petersburg, Florida and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Alexandria Kongsiri, Physician, as its authorized official.

NPPES Registry Identity

NPI1932200045
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVISAGE DERMATOLOGY, LLC
Location Address5253 CENTRAL AVESt Petersburg, FL 33710-8141
Mailing Address5253 Central AveSt Petersburg, FL 33710-8141 · (727) 388-6982
Phone(727) 388-6982
Organization SubpartNo
Authorized OfficialAlexandria KongsiriPhysician · (727) 388-6982
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 17, 2008
✔ NPI 1932200045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME83035
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5253 CENTRAL AVE, St Petersburg, FL 33710
Open in Google Maps ↗

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

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 ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2247223

Visage Dermatology LLC · Saint Petersburg, FL
Active · expires Oct 18, 2026
CLIA Number10D2247223
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorAlexandria S. Kongsiri
Laboratory Phone(727) 388-6982
Laboratory LocationVisage Dermatology LLC5253 Central Ave, Saint Petersburg, FL 33710
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.

Certificate of Compliance 10D2311158

Visage Dermatology · Palmetto, FL
Active · expires Sep 16, 2026
CLIA Number10D2311158
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorAlexandria S. Kongsiri
Laboratory Phone(727) 388-6982
Laboratory LocationVisage Dermatology5013 96th St E, Palmetto, FL 34221
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISHNU HARIKUMAR MD
Dermatology
5253 CENTRAL AVE
ST PETERSBURG, FL 33710
Pinellas County (727) 388-6982
DR. RANDY TANG MD
Dermatology
5253 CENTRAL AVE
SAINT PETERSBURG, FL 33710
Pinellas County (727) 388-6982
MS. CHRISTINA GREENE APRN
Nurse Practitioner (Family)
5253 CENTRAL AVE
SAINT PETERSBURG, FL 33710
Pinellas County (727) 388-6982
DR. ALEXANDRIA S. KONGSIRI M.D.
Dermatology
5253 CENTRAL AVE
SAINT PETERSBURG, FL 33710
Pinellas County (727) 388-6982

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 Visage Dermatology, LLC's NPI number?

The NPI number for Visage Dermatology, LLC is 1932200045. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Visage Dermatology, LLC located?

Visage Dermatology, LLC is located at 5253 Central Ave, St Petersburg, FL 33710. The listed phone number is (727) 388-6982.

What is Visage Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Visage Dermatology, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Visage Dermatology, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Visage Dermatology, 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 Visage Dermatology, LLC was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.