Institute of Dermatology & Oculoplastic Surgery PLLC

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

Legal business name

INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC

Practice address

1617 S Tuttle Ave FL 3
Sarasota, FL 34239-3132

Phone

(941) 499-0199

Fax

(941) 200-4021

NPI assigned

Apr 17, 2022

Last updated

Oct 10, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERYAs reported in NPPES

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

Authorized official

Name

Ilya Lim, MDNPI 1235450479

Title

Co-Owner

Phone

(941) 499-0199

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Institute of Dermatology O

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ilya Lim, MD

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1235450479
  Medicare reassignment Care Compare group NPD Authorized official
• Renelle Pointdujour Lim, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Sarasota, FL
  • NPI 1073821856
  Medicare reassignment Care Compare group NPD
• Shauntell J Solomon, D.O.

  • MOHS-Micrographic Surgery Physician
  • Sarasota, FL
  • NPI 1376779710

  Dermatology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1164165296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15853",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342771853",
            "telephone_number": "941-499-0199",
            "fax_number": "941-200-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 S TUTTLE AVE FL 3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393132",
            "telephone_number": "941-499-0199",
            "fax_number": "941-200-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY",
        "enumeration_date": "2022-04-17",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "941-499-0199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Corporate Solutions, Inc. (Clover Medical Solutions)
• Innovative Endocrinology PC
• Innovative Infusions, LLC (Paragon Infusion Centers)
• Linda Insano-Milone, D.M.D.
• Insight Behavioral Health & Addiction Solutions, Inc. (Clean Recovery Centers)
• Integral Healing & Wellness Inc.
• Integral Medicine of Sarasota County LLC
• Integral Path Associates, LLC
• Integrated Chiropractic Inc
• Integrated Financial Solutions, USA, Inc (Siesta Key Massage)

• Oncology Clinic/Center in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Oncology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.