Individual provider Active NPI

Danielle Skarda, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1083151583
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115877 Issued in FL
Practice address
2800 Biscayne Blvd Ste 1010
Miami, FL 33137-4559
Phone
(786) 607-4544
Fax
(786) 607-4588
NPI assigned
Jan 23, 2017
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54173 CA
Physician Assistant 363A00000X PA9115877 FL Primary

Addresses

Primary practice location

2800 Biscayne Blvd Ste 1010
Miami, FL 33137-4559

Mailing address

1250 E Hallandale Beach Blvd Ste 800
Hallandale Beach, FL 33009-4642

Other practice location 1

18801 NE 29th Ave
Aventura, FL 33180-2826
Phone (754) 544-9030

Other practice location 2

1250 E Hallandale Beach Blvd Ste 800
Hallandale Beach, FL 33009-4642
Phone (954) 456-5050

Other names 1

  • Danielle Durham Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719003883 FL Practitioner - Physician Assistant 2163708546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shagalov Dermatology PAGroup PAC ID 5991160244, 2 clinicians

Practice addresses (Care Compare)

2800 Biscayne Blvd
Suite 1010
Miami, FL 33137-4559
Phone (786) 607-4544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shagalov Dermatology PA CurrentSince Sep 1, 2024 Accepting new patients
Dermatology Group of Florida PA PastSince Feb 23, 2025 Accepting new patients

Locations

2800 Biscayne Blvd
Ste 1010
Miami, FL 33137
Phone (347) 409-1660

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1083151583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 800",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BISCAYNE BLVD STE 1010",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374559",
            "telephone_number": "786-607-4544",
            "fax_number": "786-607-4588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18801 NE 29th Ave",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331802826",
            "country_code": "US",
            "telephone_number": "754-544-9030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Hallandale Beach Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330094642",
            "country_code": "US",
            "telephone_number": "954-456-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKARDA",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54173",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DURHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.