Individual provider Active NPI

Nadine George Soro, D.O.

  • Dermatology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1255611166
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS11843 Issued in FL
Practice address
6550 N Federal Hwy Ste 320
Fort Lauderdale, FL 33308-1400
Phone
(954) 500-7546
Fax
(954) 491-0562
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 OS11843 FL Primary

Addresses

Primary practice location

6550 N Federal Hwy Ste 320
Fort Lauderdale, FL 33308-1400

Mailing address

6550 N Federal Hwy Ste 320
Fort Lauderdale, FL 33308-1400
Phone (954) 500-7546

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
I20160203002297 FL Practitioner - Dermatology 3870897390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

6550 N Federal Hwy
Suite 320
Fort Lauderdale, FL 33308-1400
Phone (954) 500-7546

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of tissue1-10
Removal of skin lesions1101
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy507

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 18, 2021 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 18, 2021 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

6550 N Federal Hwy
Ste 320
Ft Lauderdale, FL 33308
Phone (954) 491-0510

2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: nadine.soro@forefrontdermatology.emadirect.md

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1255611166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 N FEDERAL HWY STE 320",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081400",
            "telephone_number": "954-500-7546",
            "fax_number": "954-491-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 N FEDERAL HWY STE 320",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081400",
            "telephone_number": "954-500-7546",
            "fax_number": "954-491-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORO",
        "first_name": "NADINE",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS11843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.