Individual provider Active NPI

Rachel Erin Epstein, D.O.

  • Dermatology Physician
  • Clearwater, FL
National Provider Identifier
1356588974
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS 10516 Issued in FL
Practice address
2454 N McMullen Booth Rd Ste 424
Clearwater, FL 33759-1339
Phone
(727) 248-0118
Fax
(727) 286-9555
NPI assigned
Jan 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X OS10516 FL
Procedural Dermatology Physician 207NS0135X OS10516 FL
Dermatology Physician 207N00000X OS 10516 FL Primary

Addresses

Primary practice location

2454 N McMullen Booth Rd Ste 424
Clearwater, FL 33759-1339

Mailing address

2454 N McMullen Booth Rd Ste 424
Clearwater, FL 33759-1339
Phone (727) 248-0118

Other practice location 1

1530 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4202
Phone (727) 202-9442

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
I20121023000690 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7911178900 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Petersburg Dermatology LLCGroup PAC ID 2961782701, 7 clinicians
Clear Skin Dermatology, P.a.Group PAC ID 8123451408, 4 clinicians

Practice addresses (Care Compare)

1530 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4202
Phone (727) 202-9442

2454 N McMullen Booth Rd
Suite 424
Clearwater, FL 33759-1339
Phone (727) 248-0118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision117
Removal of tissue38
Removal of skin lesions355
Removal of skin cancer773
Skin biopsy100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 10516FLMDDermatology Physician
OS10516FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Petersburg Dermatology, LLC Dermatology CurrentSince Jun 6, 2019 Accepting new patients
Clear Skin Dermatology, P.a. Dermatology CurrentSince Mar 22, 2019 Accepting new patients

Locations

2454 N McMullen Booth Rd
Ste 424
Clearwater, FL 33759
Phone (727) 248-0118

1530 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (721) 720-2944

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00359

Organizations & group practices 3

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1356588974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 424",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591339",
            "telephone_number": "727-248-0118",
            "fax_number": "727-286-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 424",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591339",
            "telephone_number": "727-248-0118",
            "fax_number": "727-286-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Dr Martin Luther King Jr St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337044202",
            "country_code": "US",
            "telephone_number": "727-202-9442",
            "fax_number": "727-265-2507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "RACHEL",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2020-11-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS10516",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "OS10516",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS 10516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.