Individual provider Active NPI

Andrew Peter Kontos, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lehigh Acres, FL
National Provider Identifier
1427164466
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME96589 Issued in FL
Practice address
3507 Lee Blvd Ste 107
Lehigh Acres, FL 33971-1303
Phone
(239) 368-8071
Fax
(239) 368-8074
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 ME96589 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME96589 FL Primary
Procedural Dermatology Physician 207NS0135X ME96589 FL

Addresses

Primary practice location

3507 Lee Blvd Ste 107
Lehigh Acres, FL 33971-1303

Mailing address

3507 Lee Blvd Ste 107
Lehigh Acres, FL 33971-1303
Phone (239) 368-8071

Other practice location 1

8800 Bernwood Pkwy Ste 6
Bonita Springs, FL 34135-9527
Phone (239) 908-6444

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
I20061026000154 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2961409404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Dermatology and Mohs Surgery LLCGroup PAC ID 7416268255, 3 clinicians
Jackson Center, PA.Group PAC ID 4789617333, 3 clinicians

Practice addresses (Care Compare)

3507 Lee Blvd
Suite 107
Lehigh Acres, FL 33971-1303
Phone (239) 368-8071

4500 Executive Dr
Suite 300
Naples, FL 34119-8908
Phone (239) 598-9009

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of tissue12
Removal of skin lesions515
Removal of skin cancer521
Removal or shaving of skin growth16
Skin biopsy362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96589FLMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Center, PA Dermatology CurrentSince Jun 12, 2025 Accepting new patients
Center for Dermatology and Skin Surgery Inc Dermatology Past Accepting new patients
Kaf Path LLC Past Accepting new patients
Premier Dermatology, LLC Dermatology PastSince Jun 15, 2016 Accepting new patients

Locations

4500 Executive Dr
Ste 300
Naples, FL 34119
Phone (239) 598-9009

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1427164466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 LEE BLVD STE 107",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711303",
            "telephone_number": "239-368-8071",
            "fax_number": "239-368-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 LEE BLVD STE 107",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711303",
            "telephone_number": "239-368-8071",
            "fax_number": "239-368-8074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Bernwood Pkwy Ste 6",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341359527",
            "country_code": "US",
            "telephone_number": "239-908-6444",
            "fax_number": "239-494-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONTOS",
        "first_name": "ANDREW",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME96589",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME96589",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME96589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.