Individual provider Active NPI

Scott Podnos, MD

  • MOHS-Micrographic Surgery Physician
  • Weston, FL
National Provider Identifier
1053421446
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME77859 Issued in FL
Practice address
290 Indian Trce
Weston, FL 33326-4509
Phone
(954) 908-3604
Fax
(954) 903-4075
NPI assigned
Aug 30, 2006
Last updated
Dec 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME77859 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME77859 FL Primary

Addresses

Primary practice location

290 Indian Trce
Weston, FL 33326-4509

Mailing address

151 Southhall LN
Ste 300
Maitland, FL 32751-7176
Phone (407) 875-2080

Other identifiers 1

IdentifierTypeStateIssuer
257778000MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050427000746 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 2769421957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1905 Clint Moore Rd
Suite 103
Boca Raton, FL 33496-2659
Phone (561) 241-4474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision436
Removal of skin lesions493
Removal of skin cancer1034
Skin biopsy269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Jul 19, 1999 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Jul 19, 1999 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

2620 S Seacrest Blvd
Ste B
Boynton Beach, FL 33435
Phone (561) 737-4888

540 Medical Oaks Ave
Ste 102
Brandon, FL 33511
Phone (813) 651-1991

632 Del Prado Blvd N
Ste 201
Cape Coral, FL 33909
Phone (239) 829-7102

82245 Overseas Hwy
Islamorada, FL 33036
Phone (305) 664-0700

120 International Pkwy
Ste 240
Lake Mary, FL 32746
Phone (407) 333-4200

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

3 SW 129th Ave
Ste 100
Pembroke Pines, FL 33027
Phone (954) 447-3200

11474 SW Village Pkwy
Port St Lucie, FL 34987
Phone (772) 318-4845

484 US Highway 1
Ste C
Sebastian, FL 32958
Phone (772) 646-6100

6450 38th Ave N
Ste 420
St Petersburg, FL 33710
Phone (727) 344-6851

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

3755 7th Ter
Vero Beach, FL 32960
Phone (772) 569-5056

290 Indian Trce
Weston, FL 33326
Phone (954) 349-4004

2229 N Commerce Pkwy
Ste 210
Weston, FL 33326
Phone (954) 709-2701

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1053421446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517176",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 INDIAN TRCE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264509",
            "telephone_number": "954-908-3604",
            "fax_number": "954-903-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODNOS",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME77859",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME77859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257778000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.