Active NPI
Gregory Bartos, DO
- Dermatology Physician
- Hollywood, FL
National Provider Identifier
1427513308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- OS17104
- Practice address
- 4700 Sheridan St Ste I
Hollywood, FL 33021-3416 - Phone
- (954) 516-0722
- Fax
- (844) 639-7749
- NPI assigned
- Feb 5, 2019
- Last updated
- Aug 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OS17104 | FL | Primary |
Addresses
Primary practice location
4700 Sheridan St Ste I
Hollywood, FL 33021-3416
Mailing address
4700 Sheridan St Ste I
Hollywood, FL 33021-3416
Phone (954) 516-0722
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
- Dermatology
- Education
- Nova Southeastern College of Osteo Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Sheridan St
Hollywood, FL 33021-3416
Phone (954) 466-4700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 452 |
| Removal of skin cancer | 93 |
| Skin biopsy | 126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simona B Bartos DO PA | Dermatology | Current | Accepting new patients |
Locations
4700 Sheridan St
Ste I
Hollywood, FL 33021
Phone (954) 408-2020
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Imperial Dermatology
- MOHS-Micrographic Surgery Physician
- Hollywood, FL
- NPI 1821679929
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1427513308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SHERIDAN ST STE I",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213416",
"telephone_number": "954-516-0722",
"fax_number": "844-639-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SHERIDAN ST STE I",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213416",
"telephone_number": "954-516-0722",
"fax_number": "844-639-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOS",
"first_name": "GREGORY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-05",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "OS17104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.