Individual provider Active NPI

Erfon Ekhlasi, MD

  • Dermatology Physician
  • Bradenton, FL
National Provider Identifier
1013366582
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME133728 Issued in FL
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

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230818000198 FL Practitioner - Dermatology 0244608412 Reassigns benefits to 1 organization
I20250305002862 WA Practitioner - Dermatology 0244608412 Reassigns benefits to 1 organization
I20260227000984 OR Practitioner - Dermatology 0244608412 Reassigns benefits to 1 organization

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
Waterside Dermatology PLLCGroup PAC ID 2466815394, 2 clinicians
Clear Choice DermatologyGroup PAC ID 4789005034, 47 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision42
Removal of skin lesions998
Removal of skin cancer205
Removal or shaving of skin growth131
Skin biopsy239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD223732ORMDDermatology Physician
MD.MD.61643734WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waterside Dermatology PLLC Dermatology CurrentSince Aug 1, 2023 Accepting new patients
Clear Choice Dermatology Dermatology CurrentSince Jan 22, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.