Individual provider Active NPI

Larissa Zaulyanov Scanlan, MD

  • MOHS-Micrographic Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1255376711
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME95300 Issued in FL
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

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ME95300OtherFLLICENSE

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
I20061204000298 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9032118971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

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 100Reported as individual
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision84
Removal of tissue1-10
Removal of skin lesions18
Removal of skin cancer1125
Skin biopsy23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95300FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Mohs-Micrographic Surgery CurrentSince Oct 3, 2006 Accepting new patients
Skin and Cancer Associates Mohs-Micrographic Surgery PastSince Jun 30, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.