Individual provider Active NPI

Marianna Larisa Blyumin-Karasik, M.D.

  • Dermatology Physician
  • Davie, FL
National Provider Identifier
1194926964
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME103796 Issued in FL
Practice address
3501 S University Dr
Suite 5
Davie, FL 33328-2001
Phone
(954) 998-0345
Fax
(954) 998-0344
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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 ME103796 FL Primary

Addresses

Primary practice location

3501 S University Dr
Suite 5
Davie, FL 33328-2001

Mailing address

3501 S University Dr
Suite 5
Davie, FL 33328-2001
Phone (956) 499-8034

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
I20090810000116 FL Practitioner - Dermatology 7012060080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Skin LLCGroup PAC ID 5991102154, 5 clinicians

Practice addresses (Care Compare)

3501 S University Dr
Suite 5
Davie, FL 33328-2001
Phone (954) 998-0345

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions494
Removal or shaving of skin growth1-10
Skin biopsy167

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Skin LLC Dermatology CurrentSince Sep 14, 2021 Accepting new patients
Norman Minars, MD, PA Past Accepting new patients

Locations

3501 S University Dr
Ste 5
Davie, FL 33328
Phone (954) 998-0345

Organizations & group practices 2

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1194926964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S UNIVERSITY DR",
            "address_2": "SUITE 5",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282001",
            "telephone_number": "956-499-8034",
            "fax_number": "954-998-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S UNIVERSITY DR",
            "address_2": "SUITE 5",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282001",
            "telephone_number": "954-998-0345",
            "fax_number": "954-998-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYUMIN-KARASIK",
        "first_name": "MARIANNA",
        "middle_name": "LARISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME103796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.