Active NPI
Michael Gregory Foss
- Dermatology Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- OS17790
- Practice address
- 2101 61St St W
Bradenton, FL 34209-5528 - Phone
- (941) 677-9070
- Fax
- (941) 296-8501
- NPI assigned
- Mar 19, 2019
- Last updated
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OS17790 | FL | Primary |
Addresses
Primary practice location
2101 61St St W
Bradenton, FL 34209-5528
Mailing address
4411 Bee Ridge Rd # 309
Sarasota, FL 34233-2514
Phone (941) 926-6553
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
- Dermatology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 61St St W
Bradenton, FL 34209-5528
Phone (941) 926-6553
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 180 |
| Removal of skin lesions | 1214 |
| Removal of skin cancer | 342 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 818 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminary Dermatology of Miami, LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Luminary Dermatology, PA | Dermatology | Current | Accepting new patients |
Locations
101 Riverfront Blvd
Ste 710
Bradenton, FL 34205
2101 61st St W
Bradenton, FL 34209
Phone (941) 761-4448
300 Riverside Dr E
Ste 2010
Bradenton, FL 34208
Phone (941) 405-1170
6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101
925 NE 30th Ter
Ste 308
Homestead, FL 33033
Phone (305) 245-2768
544 Bay Isles Rd
Longboat Key, FL 34228
Phone (941) 225-2258
8740 SW 88th St
Ste 101
Miami, FL 33176
Phone (305) 274-5574
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
4411 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 342-3201
Interoperability endpoints
- michael.foss.1@11352.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- MOHS-Micrographic Surgery Physician
- Bradenton, FL
- NPI 1851955983
Dermatology
-
dba Luminary Dermatology, PA
- MOHS-Micrographic Surgery Physician
- Miami, FL
- NPI 1114769767
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1285193193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 BEE RIDGE RD # 309",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342332514",
"telephone_number": "941-926-6553",
"fax_number": "941-296-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 61ST ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095528",
"telephone_number": "941-677-9070",
"fax_number": "941-296-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSS",
"first_name": "MICHAEL",
"middle_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2023-09-28",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "OS17790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.