Michael J Rogers

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0058778 Issued in FL

Practice address

727 US 27 South
Sebring, FL 33870

Phone

(863) 385-7183

Fax

(863) 385-0088

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

New York Medical College, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Dermatology LLCGroup PAC ID 9537595194, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lakesidederm@lakesidedermatology.emadirect.md

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobbi Jo Darr

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1659756377
  Medicare reassignment
• Alexander Woodward Kennon, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sebring, FL
  • NPI 1053675868
  Medicare reassignment
• Patricia A Mulder, ARNP-C

  • Nurse Practitioner
  • Sebring, FL
  • NPI 1841434727
  Medicare reassignment
• Brooke Rogers, DNP,FNP-C

  • Nurse Practitioner
  • Sebring, FL
  • NPI 1184038119
  Medicare reassignment
• Barbara Ann Ross, NP

  • Nurse Practitioner
  • Winter Haven, FL
  • NPI 1457579955
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeside Dermatology LLC

  • Dermatology Physician
  • Sebring, FL
  • NPI 1922257260
  Medicare reassignment Care Compare group NPD Authorized official
• Lakeside Dermatology , PA

  • Dermatology Physician
  • Cornelius, NC
  • NPI 1619973054
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1003876053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 US 27 SOUTH",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33870",
            "telephone_number": "863-385-7183",
            "fax_number": "863-385-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 US 27 SOUTH",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33870",
            "telephone_number": "863-385-7183",
            "fax_number": "863-385-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0058778",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0058778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Angel Rodriguez, ARNP
• Ruvi Rodriguez
• Vanessa Rodriguez, RBT
• Mirta M Roebuck, RN
• Brooke Rogers, DNP,FNP-C
• Daniel Andrew Roquiz, M.D.
• Placido M Roquiz Jr., MD PA
• Juan Pio Ros Carretero, M.D.
• Susana Rosado-Shapow, RPH
• Kimberley Lesha Rose-Francis, R.D.

• Dermatology Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.