SUNNYCOAST DERMATOLOGY, INC.
NPI 1962487546
Dermatology in Vero Beach, FL
About Sunnycoast Dermatology, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNNYCOAST DERMATOLOGY, INC. (NPI 1962487546) is a healthcare organization registered as a dermatology in Vero Beach, Florida and active in the NPI registry since December 2005. The organization holds a CLIA Certificate of Compliance certificate valid through February 12, 2028 and lists Theodor Major Rudolph, Medical Director/medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sunnycoast Dermatology, Inc. 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 Sunnycoast Dermatology, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D0995867
Sunnycoast Dermatology Inc · Vero Beach, FLFrequently 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 Sunnycoast Dermatology, Inc.'s NPI number?
The NPI number for Sunnycoast Dermatology, Inc. is 1962487546. It was assigned to this organization in the NPPES registry on December 7, 2005.
Where is Sunnycoast Dermatology, Inc. located?
Sunnycoast Dermatology, Inc. is located at 1850 43rd Ave Suite 4 & 5 C, Vero Beach, FL 32960. The listed phone number is (772) 299-4000.
What is Sunnycoast Dermatology, Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Sunnycoast Dermatology, Inc. enrolled in Medicare?
Yes. Sunnycoast Dermatology, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sunnycoast Dermatology, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Sunnycoast Dermatology, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sunnycoast Dermatology, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D0995867) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sunnycoast Dermatology, Inc. was last updated on August 22, 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.