Active NPI
Larissa Zaulyanov Scanlan, MD
- MOHS-Micrographic Surgery Physician
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME95300
- Practice address
- 13550 Jog Road
S. D201
Delray Beach, FL 33446-3809 - Phone
- (561) 637-2516
- Fax
- (561) 637-4657
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME95300 | FL | Primary |
Addresses
Primary practice location
13550 Jog Road
S. D201
Delray Beach, FL 33446-3809
Mailing address
13550 Jog Road
S. D201
Delray Beach, FL 33446-3809
Phone (561) 637-2516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME95300 | Other | FL | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13660 S Jog Rd
Suite 8
Delray Beach, FL 33446-3806
Phone (561) 637-4040
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.5 of 100
- Promoting interoperability
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 84 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 18 |
| Removal of skin cancer | 1125 |
| Skin biopsy | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME95300 | FL | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin and Cancer Associates | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Skin and Cancer Associates | Mohs-Micrographic Surgery | Past | Accepting new patients |
Locations
13660 S Jog Rd
Ste 8
Delray Beach, FL 33446
Phone (561) 637-4040
13550 S Jog Rd
#S
Delray Beach, FL 33446
13550 S Jog Rd
Ste D201
Delray Beach, FL 33446
Phone (561) 637-2516
3275 N State Road 7
Margate, FL 33063
Phone (954) 974-3664
1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Dermatology Physician
- Plantation, FL
- NPI 1427017292
Mohs-Micrographic Surgery
-
- Dermatology Physician
- Plantation, FL
- NPI 1740737576
Mohs-Micrographic Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trilogy Home Healthcare
- Home Health Agency
- West Palm Beach, FL
- NPI 1538598081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1255376711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13550 JOG ROAD",
"address_2": "S. D201",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463809",
"telephone_number": "561-637-2516",
"fax_number": "561-637-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13550 JOG ROAD",
"address_2": "S. D201",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463809",
"telephone_number": "561-637-2516",
"fax_number": "561-637-4657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAULYANOV SCANLAN",
"first_name": "LARISSA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME95300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME95300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.