Individual provider Active NPI

David Esguerra, DO

  • Dermatology Physician
  • Port Richey, FL
National Provider Identifier
1205825486
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS7903 Issued in FL
Practice address
8220 US Highway 19
Port Richey, FL 34668-6639
Phone
(727) 841-8505
Fax
(727) 846-0561
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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 OS7903 FL Primary

Addresses

Primary practice location

8220 US Highway 19
Port Richey, FL 34668-6639

Mailing address

8220 US Highway 19
Port Richey, FL 34668-6639
Phone (727) 841-8505

Other identifiers 1

IdentifierTypeStateIssuer
261751000MedicaidFL

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
I20101020000749 FL Practitioner - Dermatology 1052504248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of New England, College of Osteo Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians

Practice addresses (Care Compare)

8220 US 19
Port Richey, FL 34668-6639
Phone (727) 841-8505

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
78.21
Promoting interoperability
100
Improvement activities
40
Cost
77.18

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions2799
Removal of skin cancer197
Removal or shaving of skin growth27
Skin biopsy532

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7903FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Largo Physician Group, LLC CurrentSince Nov 4, 2012 Accepting new patients
Bay Dermatology and Cosmetic Surgery P a Dermatology CurrentSince Jun 1, 2001 Accepting new patients
Kratz Allergy Asthma & Immunology Associates PA Past Accepting new patients
Sun Coast Hospital Inc PastSince Nov 4, 2012 Accepting new patients

Locations

1345 West Bay Dr
Ste 304
Largo, FL 33770
Phone (727) 490-5040

115 Highland Ave N
Largo, FL 33770
Phone (727) 585-8591

1559 Indian Rocks Rd S
Largo, FL 33770
Phone (727) 587-9044

13540 Walsingham Rd
Ste D
Largo, FL 33774
Phone (727) 593-5492

1009 Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 264-5447

8202 Washington St
Ste 4
Port Richey, FL 34668
Phone (561) 254-0787

8220 US Highway 19
Port Richey, FL 34668
Phone (727) 841-8505

2525 Pasadena Ave S
Ste S
South Pasadena, FL 33707
Phone (727) 360-0853

2525 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 585-8591

1130 Commercial Way
Spring Hill, FL 34606
Phone (352) 688-5544

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1205825486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686639",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686639",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESGUERRA",
        "first_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS7903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261751000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.