Individual provider Active NPI

Kimberly Jennifer Hull, D.O.

  • Dermatology Physician
  • Coral Springs, FL
National Provider Identifier
1366646804
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS11414 Issued in FL
Practice address
3000 N University Dr
Suite K
Coral Springs, FL 33065-5055
Phone
(954) 752-2630
Fax
(954) 755-1865
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS11414 FL Primary

Addresses

Primary practice location

3000 N University Dr
Suite K
Coral Springs, FL 33065-5055

Mailing address

3000 N University Dr
Suite K
Coral Springs, FL 33065-5055
Phone (954) 752-2630

Other names 1

  • Kimberly Jennifer May Former name

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
I20151117001811 FL Practitioner - Dermatology 9234449596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

3000 N University Dr
Suite K
Coral Springs, FL 33065-5082
Phone (954) 752-2630

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as individual
Promoting interoperability
81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions459
Removal or shaving of skin growth1-10
Skin biopsy135

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology CurrentSince Nov 1, 2018 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

3000 N University Dr
Ste K
Coral Springs, FL 33065
Phone (954) 752-2630

10141 W Sample Rd
Coral Springs, FL 33065
Phone (954) 437-7358

1460 N University Dr
Coral Springs, FL 33071
Phone (954) 510-7505

13660 S Jog Rd
Ste 8
Delray Beach, FL 33446
Phone (561) 637-4040

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1366646804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N UNIVERSITY DR",
            "address_2": "SUITE K",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655055",
            "telephone_number": "954-752-2630",
            "fax_number": "954-755-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N UNIVERSITY DR",
            "address_2": "SUITE K",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655055",
            "telephone_number": "954-752-2630",
            "fax_number": "954-755-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "KIMBERLY",
        "middle_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS11414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MAY",
            "middle_name": "JENNIFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.