Neha Chandan, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

ME166893 Issued in FL

Practice address

2191 9TH Ave N Ste 100
St Petersburg, FL 33713-7147

Phone

(727) 528-0321

Fax

(727) 498-8832

NPI assigned

Mar 24, 2020

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Dermatology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divine Dermatology PLLCGroup PAC ID 0547255101, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nchandan28867@uihealth.direct-ci.com

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.

• Divine Dermatology LLC

  dba Prime Dermatology

  • Dermatology Physician
  • St Petersburg, FL
  • NPI 1508976010
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1114554870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137147",
            "telephone_number": "727-528-0321",
            "fax_number": "727-498-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137147",
            "telephone_number": "727-528-0321",
            "fax_number": "727-498-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDAN",
        "first_name": "NEHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME166893",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME166893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Tim Chan, DO
• Denise Michelle Chan, MD
• Mark Chan, DO, MS
• Rainer Quijada Chan, M.D.
• Sebrina Chan
• Himanshu V Chandarana, M.D.
• Cecilia Leticia Chandler, APRN
• Nicole Chandler, MD
• Juan Chanelo Rodriguez, LMT
• Grace Hui-Yi Chang, PHD

• MOHS-Micrographic Surgery Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.