Individual provider Active NPI

Theodore John Giuffrida, MD

  • MOHS-Micrographic Surgery Physician
  • Coral Gables, FL
National Provider Identifier
1255357182
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME80876 Issued in FL
Practice address
3275 Ponce de Leon Blvd
Coral Gables, FL 33134-7251
Phone
(305) 461-2000
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME80876 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME80876 FL Primary

Addresses

Primary practice location

3275 Ponce de Leon Blvd
Coral Gables, FL 33134-7251

Mailing address

3275 Ponce de Leon Blvd
Coral Gables, FL 33134-7251
Phone (305) 461-2000

Other identifiers 1

IdentifierTypeStateIssuer
ME80876OtherFLMED LICENSE

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
I20041110000408 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1355304395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Miami, LM Miller School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

3275 Ponce de Leon Blvd
Coral Gables, FL 33134-7251
Phone (305) 461-2000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions74
Removal of skin cancer445
Skin biopsy27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco Flores MD PA Current Accepting new patients
The Derm Group LLP Mohs-Micrographic Surgery CurrentSince Sep 1, 2019 Accepting new patients
Dermatology and Skin Cancer Specialists, LLC. Past Accepting new patients
University of Miami Past Accepting new patients
University of Miami Past Accepting new patients
Flor Mayoral-Vega MD PA PastSince Jun 29, 2021 Accepting new patients

Locations

3275 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone (305) 461-2000

11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1255357182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347251",
            "telephone_number": "305-461-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347251",
            "telephone_number": "305-461-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUFFRIDA",
        "first_name": "THEODORE",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME80876",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME80876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "ME80876",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.