Active NPI
Erfon Ekhlasi, MD
- Dermatology Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME133728
- Practice address
- 300 Riverside Dr E Ste 2200
Bradenton, FL 34208-1023 - Phone
- (941) 748-3376
- Fax
- (941) 748-7562
- NPI assigned
- Jun 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 293390 | MA | |
| Dermatology Physician | 207N00000X | ME133728 | FL | Primary |
| Dermatology Physician | 207N00000X | MD223732 | OR | |
| Dermatology Physician | 207N00000X | MD.MD.61643734 | WA |
Addresses
Primary practice location
300 Riverside Dr E Ste 2200
Bradenton, FL 34208-1023
Mailing address
300 Riverside Dr E Ste 2200
Bradenton, FL 34208-1023
Phone (941) 748-3376
Other practice location 1
123 C Ave
Lake Oswego, OR 97034-2353
Phone (503) 905-9006
Other practice location 2
37587 Highway 26
Sandy, OR 97055-9301
Phone (503) 506-0474
Other practice location 3
9951 Mickelberry Rd NW Ste 201
Silverdale, WA 98383-8309
Phone (360) 692-1814
Other practice location 4
966 12th St SE Ste 130
Salem, OR 97302-2860
Phone (503) 837-6395
Other practice location 5
5901 Steilacoom Blvd SW
Tacoma, WA 98499-3120
Phone (253) 363-9199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Texas Medical School at Houston, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Riverside Dr E
Suite 2200
Bradenton, FL 34208-1023
Phone (941) 748-3376
966 12TH St SE
Suite 130
Salem, OR 97302-2860
Phone (503) 837-6395
9951 Mickelberry Rd NW
Suite 201
Silverdale, WA 98383-8309
Phone (541) 316-6575
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 42 |
| Removal of skin lesions | 998 |
| Removal of skin cancer | 205 |
| Removal or shaving of skin growth | 131 |
| Skin biopsy | 239 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD223732 | OR | MD | Dermatology Physician |
| MD.MD.61643734 | WA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterside Dermatology PLLC | Dermatology | Current | Accepting new patients |
| Clear Choice Dermatology | Dermatology | Current | Accepting new patients |
Locations
300 Riverside Dr E
Bradenton, FL 34208
Phone (800) 391-2802
5959 17th Ave W
Bradenton, FL 34209
Phone (941) 226-8380
300 Riverside Dr E
Ste 2200
Bradenton, FL 34208
Phone (941) 748-3376
123 C Ave
Lake Oswego, OR 97034
Phone (702) 550-9784
966 12th St SE
Ste 130
Salem, OR 97302
Phone (503) 540-7477
37587 Highway 26
Sandy, OR 97055
Phone (503) 506-0474
1825 E 19th St
The Dalles, OR 97058
Phone (541) 506-6440
310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151
9951 Mickelberry Rd NW
Ste 201
Silverdale, WA 98383
Phone (360) 692-1814
5901 Steilacoom Blvd SW
Tacoma, WA 98499
Phone (253) 203-2880
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
- FL HMO C-SNP
- FL PPO
- FL HMO D-SNP
- FL HMO
Interoperability endpoints
- ekhlassi@vesper.emadirect.md
Organizations & group practices 2
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.
-
- Dermatology Physician
- Bradenton, FL
- NPI 1639856297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1013366582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 RIVERSIDE DR E STE 2200",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081023",
"telephone_number": "941-748-3376",
"fax_number": "941-748-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RIVERSIDE DR E STE 2200",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081023",
"telephone_number": "941-748-3376",
"fax_number": "941-748-7562"
}
],
"practiceLocations": [
{
"address_1": "123 C Ave",
"address_purpose": "LOCATION",
"city": "Lake Oswego",
"state": "OR",
"postal_code": "970342353",
"country_code": "US",
"telephone_number": "503-905-9006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37587 Highway 26",
"address_purpose": "LOCATION",
"city": "Sandy",
"state": "OR",
"postal_code": "970559301",
"country_code": "US",
"telephone_number": "503-506-0474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9951 Mickelberry Rd NW Ste 201",
"address_purpose": "LOCATION",
"city": "Silverdale",
"state": "WA",
"postal_code": "983838309",
"country_code": "US",
"telephone_number": "360-692-1814",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "966 12th St SE Ste 130",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973022860",
"country_code": "US",
"telephone_number": "503-837-6395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5901 Steilacoom Blvd SW",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984993120",
"country_code": "US",
"telephone_number": "253-363-9199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EKHLASI",
"first_name": "ERFON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-06",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "293390",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME133728",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "MD223732",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD.MD.61643734",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.