Individual provider Active NPI

David M Sharaf, MD

  • Dermatology Physician
  • Plantation, FL
National Provider Identifier
1114922747
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME44201 Issued in FL
Practice address
261 N. University Drive
S. 720
Plantation, FL 33324-1857
Phone
(954) 473-6750
Fax
(954) 424-7093
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 ME44201 FL Primary

Addresses

Primary practice location

261 N. University Drive
S. 720
Plantation, FL 33324-1857

Mailing address

261 N. University Drive
S. 720
Plantation, FL 33324-1857
Phone (954) 473-6750

Other identifiers 1

IdentifierTypeStateIssuer
271707700MedicaidFL

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
I20100712000227 FL Practitioner - Dermatology 7315079399

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME44201FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology CurrentSince Jun 15, 2021 Accepting new patients

Locations

261 N University Dr
Ste 720
Plantation, FL 33324
Phone (954) 473-6750

201 NW 82nd Ave
Ste 501
Plantation, FL 33324
Phone (954) 473-6750

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1114922747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N. UNIVERSITY DRIVE",
            "address_2": "S. 720",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241857",
            "telephone_number": "954-473-6750",
            "fax_number": "954-424-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N. UNIVERSITY DRIVE",
            "address_2": "S. 720",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241857",
            "telephone_number": "954-473-6750",
            "fax_number": "954-424-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAF",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME44201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271707700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.