Individual provider Active NPI

Sergey Arutyunyan, D.O.

  • Dermatology Physician
  • South Miami, FL
National Provider Identifier
1295274843
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS15519 Issued in FL
Practice address
7031 SW 62ND Ave
South Miami, FL 33143-4701
Phone
(305) 284-7761
NPI assigned
Feb 15, 2017
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X OS15519 FL Primary
MOHS-Micrographic Surgery Physician 207ND0101X OS15519 FL

Addresses

Primary practice location

7031 SW 62ND Ave
South Miami, FL 33143-4701

Mailing address

7031 SW 62ND Ave
South Miami, FL 33143-4701

Other practice location 1

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

Other practice location 2

701 Northpoint Pkwy Ste 104
West Palm Beach, FL 33407-1950
Phone (941) 444-0011

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
I20210727000319 FL Practitioner - Dermatology 1658774880 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Nova Southeastern College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onspot-FLGroup PAC ID 3678984937, 43 clinicians
Visage Dermatology, LLCGroup PAC ID 2163420621, 6 clinicians
Associates in Dermatology, IncGroup PAC ID 1355334863, 20 clinicians

Practice addresses (Care Compare)

16461 Domestic Ave
Fort Myers, FL 33912-6008
Phone (877) 266-7768

3365 Burns Rd
Suite 217
Palm Beach Gardens, FL 33410-4312
Phone (561) 567-8899

5253 Central Ave
Saint Petersburg, FL 33710-8141
Phone (727) 388-6982

530 Ocoee Commerce Pkwy
Ocoee, FL 34761-4219
Phone (407) 827-7546

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision83
Removal of skin lesions383
Removal of skin cancer548
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15519FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onspot-FL Dermatology CurrentSince Jan 3, 2024 Accepting new patients
Associates in Dermatology Inc CurrentSince Jul 8, 2024 Accepting new patients
Pine Island Dermatology, LLC Dermatology CurrentSince Dec 1, 2022 Accepting new patients
Visage Dermatology, LLC Dermatology CurrentSince Aug 1, 2022 Accepting new patients

Locations

400 Celebration Pl
#A12
Celebration, FL 34747

2205 North Blvd W
Davenport, FL 33837
Phone (800) 827-7546

16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688

530 Ocoee Commerce Pkwy
Ocoee, FL 34761
Phone (407) 827-7546

1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333

3365 Burns Rd
Ste 217
Palm Beach Gardens, FL 33410
Phone (561) 567-8899

5253 Central Ave
St Petersburg, FL 33710
Phone (727) 388-6982

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1295274843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434701",
            "telephone_number": "305-284-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061226",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Northpoint Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334071950",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARUTYUNYAN",
        "first_name": "SERGEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS15519",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS15519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.