Individual provider Active NPI

John C Mavropoulos, M.D., M.P.H., PH.D.

  • MOHS-Micrographic Surgery Physician
  • Orlando, FL
National Provider Identifier
1063737682
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME 124728 Issued in FL
Practice address
2121 S Hiawassee Rd Apt 4601
Orlando, FL 32835-8768
Phone
(443) 435-3517
NPI assigned
Apr 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME 124728 FL Primary

Addresses

Primary practice location

2121 S Hiawassee Rd Apt 4601
Orlando, FL 32835-8768

Mailing address

2121 S Hiawassee Rd Apt 4601
Orlando, FL 32835-8768
Phone (443) 435-3517

Other practice location 1

401 Corbett St.
Suite 200
Clearwater, FL 33756-7302
Phone (727) 250-1115

Other practice location 2

4197 Woodlands Pkwy
Palm Harbor, FL 34685
Phone (727) 786-3810

Other practice location 3

6771 Professional Parkway West
Suite 203
Sarasota, FL 34240
Phone (941) 907-7372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, ND3 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
I20181211000845 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 2860642519 Reassigns benefits to 3 organizations
I20230103000451 NC Practitioner - Micrographic Dermatologic Surgery (MDS) 2860642519 Reassigns benefits to 1 organization
I20241216001437 ND Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 2860642519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Duke University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Midstate Skin Institute LLCGroup PAC ID 3870746605, 18 clinicians
Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Practice addresses (Care Compare)

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

3165 Demers Ave
Grand Forks, ND 58201-4049
Phone (701) 780-6623

3210 SW 33Rd Rd
Suite 101
Ocala, FL 34474-7409
Phone (352) 512-0092

350 S Indiana Ave
Englewood, FL 34223-3715
Phone (941) 474-8811

6771 Professional Pkwy
Lakewood Ranch, FL 34240-8460
Phone (941) 907-7372

Hospital & facility affiliations

  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
73.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision59
Removal of skin lesions17
Removal of skin cancer1354
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 124728FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System Current Accepting new patients
Midstate Skin Institute, LLC CurrentSince Feb 12, 2025 Accepting new patients
Altru Health System CurrentSince Nov 4, 2024 Accepting new patients
J Matthew Knight M D P a CurrentSince Nov 6, 2022 Accepting new patients
Altru Health System CurrentSince Nov 4, 2024 Accepting new patients
Dermatology Consultants of Asheville PLLC CurrentSince Aug 19, 2022 Accepting new patients
Robert P.Finkelstein,D.O., P.a. PastSince Dec 16, 2003 Accepting new patients
Michelle Pennie MD LLC Past Accepting new patients

Locations

3210 SW 33rd Rd
Ste 101
Ocala, FL 34474
Phone (352) 512-0092

1740 SE 18th St
Ste 1102
Ocala, FL 34471
Phone (352) 412-0092

801 N Orange Ave
Ste 520
Orlando, FL 32801
Phone (407) 992-0660

1901 Lee Rd
Winter Park, FL 32789
Phone (407) 647-7300

218 Elkwood Ave
Ste 104
Woodfin, NC 28804
Phone (828) 484-4478

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1063737682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S HIAWASSEE RD APT 4601",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358768",
            "telephone_number": "443-435-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S HIAWASSEE RD APT 4601",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358768",
            "telephone_number": "443-435-3517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Corbett St.",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337567302",
            "country_code": "US",
            "telephone_number": "727-250-1115",
            "fax_number": "727-475-9015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4197 Woodlands Pkwy",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "34685",
            "country_code": "US",
            "telephone_number": "727-786-3810",
            "fax_number": "727-786-3855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6771 Professional Parkway West",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "34240",
            "country_code": "US",
            "telephone_number": "941-907-7372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAVROPOULOS",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "M.D., M.P.H., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME 124728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.