Individual provider Active NPI

Andrei Nesterovitch, M.D.

  • Dermatology Physician
  • West Palm Beach, FL
National Provider Identifier
1326333253
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME170398 Issued in FL
Practice address
603 Village Blvd Ste 201
West Palm Beach, FL 33409-1972
Phone
(561) 964-6664
Fax
(561) 964-8599
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME170398 FL Primary
MOHS-Micrographic Surgery Physician 207ND0101X ME170398 FL
Dermatology Physician 207N00000X 036.147801 IL

Addresses

Primary practice location

603 Village Blvd Ste 201
West Palm Beach, FL 33409-1972

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291

Other practice location 1

1840 Forest Hill Blvd Ste 102
West Palm Beach, FL 33406-6055
Phone (561) 964-6664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190920000104 IL Practitioner - Dermatology 4789914557 Reassigns benefits to 1 organization
I20241014002830 FL Practitioner - Dermatology 4789914557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology of Century Village WPB LLCGroup PAC ID 2567565260, 3 clinicians

Practice addresses (Care Compare)

603 Village Blvd
Suite 201
West Palm Beach, FL 33409-1972
Phone (561) 964-6664

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions437
Removal or shaving of skin growth13
Skin biopsy166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME170398FLMDDermatology Physician
036.147801ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bielinski Dermatology Group, LLC Dermatology CurrentSince Sep 1, 2019 Accepting new patients
Dermatology of Century Village WPB LLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients

Locations

4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081

603 Village Blvd
Ste 201
West Palm Beach, FL 33409
Phone (561) 683-1331

1840 Forest Hill Blvd
Ste 102
West Palm Beach, FL 33406
Phone (561) 766-2373

3900 W 95th St
Ste 12
Evergreen Pk, IL 60805
Phone (708) 423-7550

16105 S La Grange Rd
Orland Park, IL 60467
Phone (708) 636-3767

Interoperability endpoints

  • Direct secure messaging: anesterovich@directaddress.net

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, 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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1326333253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 VILLAGE BLVD STE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091972",
            "telephone_number": "561-964-6664",
            "fax_number": "561-964-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Forest Hill Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334066055",
            "country_code": "US",
            "telephone_number": "561-964-6664",
            "fax_number": "561-964-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESTEROVITCH",
        "first_name": "ANDREI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME170398",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME170398",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.147801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.