Active NPI
Rachel Erin Epstein, D.O.
- Dermatology Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- OS 10516
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 117 |
| Removal of tissue | 38 |
| Removal of skin lesions | 355 |
| Removal of skin cancer | 773 |
| Skin biopsy | 100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 10516 | FL | MD | Dermatology Physician |
| OS10516 | FL | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Petersburg Dermatology, LLC | Dermatology | Current | Accepting new patients |
| Clear Skin Dermatology, P.a. | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Clearwater, FL
- NPI 1336792811
-
- Dermatology Physician
- St Petersburg, FL
- NPI 1205381175
-
- Dermatology Physician
- Sarasota, FL
- NPI 1700202298
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.