Individual provider Active NPI

Ran Huo, M.D.

  • Dermatology Physician
  • Miramar, FL
National Provider Identifier
1376779371
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME115609 Issued in FL
Practice address
16766 SW 51St St
Miramar, FL 33027-4917
Phone
(954) 562-0945
NPI assigned
Jun 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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 ME115609 FL Primary

Addresses

Primary practice location

16766 SW 51St St
Miramar, FL 33027-4917

Mailing address

16766 SW 51St St
Miramar, FL 33027-4917
Phone (954) 562-0945

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
I20131023001910 FL Practitioner - Dermatology 0941440549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1035
Removal or shaving of skin growth1-10
Skin biopsy340

National Provider Directory

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

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Dermatology CurrentSince Dec 16, 2013 Accepting new patients
Broward Dermatology, LLC PastSince Jul 26, 2013 Accepting new patients
Norman Minars, MD, PA Past Accepting new patients

Locations

4060 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 987-6200

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

14932 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 362-4106

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1376779371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16766 SW 51ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274917",
            "telephone_number": "954-562-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16766 SW 51ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274917",
            "telephone_number": "954-562-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUO",
        "first_name": "RAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME115609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.