Individual provider Active NPI

Sean Ranjit Singh, MD

  • Dermatology Physician
  • Port St Lucie, FL
National Provider Identifier
1104359363
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME151329 Issued in FL
Practice address
1555 NW Saint Lucie West Blvd Ste 101
Port St Lucie, FL 34986-1758
Phone
(772) 318-4945
Fax
(772) 318-4945
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME151329 FL Primary

Addresses

Primary practice location

1555 NW Saint Lucie West Blvd Ste 101
Port St Lucie, FL 34986-1758

Mailing address

1555 NW Saint Lucie West Blvd Ste 101
Port St Lucie, FL 34986-1758
Phone (772) 318-4945

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
I20211208000091 FL Practitioner - Dermatology 6406120146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leavitt Medical Associates of Florida IncGroup PAC ID 4688579311, 199 clinicians

Practice addresses (Care Compare)

10080 SW Innovation Way
Suite 301
Port St Lucie, FL 34987-2129
Phone (772) 318-4945

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions960
Removal or shaving of skin growth11
Skin biopsy229

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 Jan 1, 2022 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Jan 1, 2022 Accepting new patients

Locations

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

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

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

10080 SW Innovation Way
Ste 301
Port St Lucie, FL 34987
Phone (561) 445-3339

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

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

Networks

  • 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 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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1104359363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NW SAINT LUCIE WEST BLVD STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861758",
            "telephone_number": "772-318-4945",
            "fax_number": "772-318-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NW SAINT LUCIE WEST BLVD STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861758",
            "telephone_number": "772-318-4945",
            "fax_number": "772-318-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SEAN",
        "middle_name": "RANJIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME151329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.