Individual provider Active NPI

Donna Bilu Martin, M.D.

  • Dermatology Physician
  • Aventura, FL
National Provider Identifier
1164565321
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME100331 Issued in FL
Practice address
2999 NE 191St Street
PH1
Aventura, FL 33180
Phone
(305) 933-1151
Fax
(305) 933-8055
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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 ME100331 FL Primary

Addresses

Primary practice location

2999 NE 191St Street
PH1
Aventura, FL 33180

Mailing address

2999 NE 191St Street
PH1
Aventura, FL 33180
Phone (305) 933-1151

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
I20080808000700 FL Practitioner - Dermatology 7911071998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Johns Hopkins University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Dermatology, MD, LLCGroup PAC ID 5092094755, 2 clinicians

Practice addresses (Care Compare)

20803 Biscayne Blvd
Suite 305
Aventura, FL 33180-1431
Phone (305) 521-8971

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions956
Removal or shaving of skin growth451
Skin biopsy573

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dermatology, MD, LLC Dermatology Current Accepting new patients
Premier Dermatology, MD, LLC CurrentSince Dec 7, 2012 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

20803 Biscayne Blvd
Ste 305
Miami, FL 33180
Phone (305) 521-8971

Interoperability endpoints

  • Direct secure messaging: dbilumartin@premierdermmd.emadirect.md

Organizations & group practices 3

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1164565321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST STREET",
            "address_2": "PH1",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-933-1151",
            "fax_number": "305-933-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST STREET",
            "address_2": "PH1",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-933-1151",
            "fax_number": "305-933-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILU MARTIN",
        "first_name": "DONNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME100331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.