Phyllis Skolnik, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

21557 Issued in FL

Practice address

8740 N Kendall Dr Ste 101
Miami, FL 33176-2209

Phone

(305) 661-8978

Fax

(305) 661-0193

NPI assigned

Feb 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luminary Dermatology of Miami LLCGroup PAC ID 8527597814, 8 clinicians

Luminary Dermatology PAGroup PAC ID 8628301835, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Luminary Dermatology of Miami, LLC

  • MOHS-Micrographic Surgery Physician
  • Miami, FL
  • NPI 1114769767
  Medicare reassignment Care Compare group NPD
• Luminary Dermatology, PA

  • MOHS-Micrographic Surgery Physician
  • Bradenton, FL
  • NPI 1851955983

  Dermatology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1023081692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762209",
            "telephone_number": "305-661-8978",
            "fax_number": "305-661-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762209",
            "telephone_number": "305-661-8978",
            "fax_number": "305-661-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLNIK",
        "first_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "21557",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "21557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049850500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colby Lamond Skinner
• Skip Laboratories LLC
• Evelyn M Sklar, MD
• Virgil Ferrer Sklar, M.D., PH.D
• Ashley Jane Skogstad, BS SLPA
• Amanda M. Skoranski, PHD, MFT-C
• Nicki Skordilis
• SKRK LLC
• Angelica Skubala
• Alvaro H Skupin, MD

• Procedural Dermatology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.