Individual provider Active NPI

Luciana Takata Pontes Arruda, MD, MSC

  • MOHS-Micrographic Surgery Physician
  • Jupiter, FL
National Provider Identifier
1093603458
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME175350 Issued in FL
Practice address
2101 S US Highway 1
Jupiter, FL 33477-7321
Phone
(561) 748-0510
Fax
(561) 748-0598
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 ME175350 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME175350 FL Primary

Addresses

Primary practice location

2101 S US Highway 1
Jupiter, FL 33477-7321

Mailing address

PO Box 919832
Orlando, FL 32891-9832
Phone (561) 748-0510

Other names 1

  • Dr. Luciana Takata Professional 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709000712 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9931613288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group M Dermatology PAGroup PAC ID 0446534374, 5 clinicians

Practice addresses (Care Compare)

2101 S US Hwy 1
Jupiter, FL 33477-7321
Phone 5617480510126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision42
Removal of skin lesions125
Removal of skin cancer58
Skin biopsy97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Group M Dermatology PA Dermatology CurrentSince Jul 2, 2025 Accepting new patients

Locations

2101 S US Highway 1
Jupiter, FL 33477
Phone (561) 748-0510

Organizations & group practices 1

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1093603458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919832",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919832",
            "telephone_number": "561-748-0510",
            "fax_number": "561-748-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S US HIGHWAY 1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334777321",
            "telephone_number": "561-748-0510",
            "fax_number": "561-748-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKATA PONTES ARRUDA",
        "first_name": "LUCIANA",
        "name_prefix": "Dr.",
        "credential": "MD, MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME175350",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME175350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCIANA",
            "last_name": "TAKATA",
            "prefix": "DR.",
            "credential": "MD, MSC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.