Individual provider Active NPI

David A Weinstein, M.D.

  • MOHS-Micrographic Surgery Physician
  • Orlando, FL
National Provider Identifier
1194046144
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME123822 Issued in FL
Practice address
9975 Tavistock Lakes Blvd Ste 360
Orlando, FL 32827-7665
Phone
(407) 266-3627
Fax
(407) 882-4799
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME123822 FL
Procedural Dermatology Physician 207NS0135X ME123822 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME123822 FL Primary

Addresses

Primary practice location

9975 Tavistock Lakes Blvd Ste 360
Orlando, FL 32827-7665

Mailing address

411 Maitland Ave Ste 1001
Altamonte Springs, FL 32701-5448
Phone (407) 260-2606

Other practice location 1

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627

Other identifiers 1

IdentifierTypeStateIssuer
015369100MedicaidFL

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
I20150819007895 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0749405678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Colleagues PAGroup PAC ID 2860861200, 2 clinicians

Practice addresses (Care Compare)

411 Maitland Ave
Suite 1001
Altamonte Springs, FL 32701-5448
Phone (407) 260-2606

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision118
Removal of skin lesions726
Removal of skin cancer433
Removal of nail tissue1-10
Removal or shaving of skin growth22
Skin biopsy149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Colleagues PA Dermatology CurrentSince Jan 2, 2023 Accepting new patients
The University of Central Florida Board of Trustees Current Accepting new patients
University of Central Florida CurrentSince Aug 10, 2015 Accepting new patients
Jerri L. Johnson, M.D., P.a. CurrentSince Jan 2, 2023 Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Aug 10, 2015 Accepting new patients
Skin Cancer Center Inc Past Accepting new patients

Locations

411 Maitland Ave
Ste 1001
Altamonte Springs, FL 32701
Phone (321) 947-0901

12424 Research Pkwy
Ste 155
Orlando, FL 32826
Phone (407) 249-4770

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

9975 Tavistock Lakes Blvd
Ste 360
Orlando, FL 32827
Phone (407) 266-3627

9975 Tavistock Lakes Blvd
Ste 160
Orlando, FL 32827
Phone (407) 266-3627

Interoperability endpoints

  • Direct secure messaging: davidw@altamontedermatology.emadirect.md

Organizations & group practices 6

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1194046144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAITLAND AVE STE 1001",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015448",
            "telephone_number": "407-260-2606",
            "fax_number": "407-260-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 TAVISTOCK LAKES BLVD STE 360",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277665",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Quadrangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328171492",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME123822",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME123822",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME123822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015369100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.