Individual provider Active NPI

Matthew J Elias, D.O.

  • Dermatology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1114118163
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS9756 Issued in FL
Practice address
3100 E Commercial Blvd
Fort Lauderdale, FL 33308-4327
Phone
(954) 771-0582
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 OS9756 FL Primary

Addresses

Primary practice location

3100 E Commercial Blvd
Fort Lauderdale, FL 33308-4327

Mailing address

3100 E Commercial Blvd
Fort Lauderdale, FL 33308-4327
Phone (954) 771-0582

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
I20100908001136 FL Practitioner - Dermatology 6901921337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elias Dermatology LLCGroup PAC ID 4880911981, 4 clinicians

Practice addresses (Care Compare)

4610 N Federal Hwy
Fort Lauderdale, FL 33308
Phone (954) 771-0582

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision91
Removal of tissue1-10
Removal of skin lesions1244
Removal of skin cancer286
Removal or shaving of skin growth16
Skin biopsy525

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elias Dermatology LLC Dermatology CurrentSince Jan 1, 2015 Accepting new patients

Locations

4610 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-5340

3100 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 200-8308

2301 N University Dr
Ste 201
Pembroke Pines, FL 33024
Phone (954) 961-5322

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1114118163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084327",
            "telephone_number": "954-771-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084327",
            "telephone_number": "954-771-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS9756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.