Individual provider Active NPI

Kortney Dorsey Hightower, MD

  • Dermatology Physician
  • Sun City Center, FL
National Provider Identifier
1437181559
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME95249 Issued in FL
Practice address
957 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6671
Phone
(813) 634-1484
Fax
(813) 435-2023
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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 ME95249 FL Primary

Addresses

Primary practice location

957 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6671

Mailing address

957 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6671
Phone (813) 634-1484

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
I20070928000377 FL Practitioner - Dermatology 3476648908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Alabama College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hightower Dermatology Services, LLCGroup PAC ID 7315189578, 5 clinicians

Practice addresses (Care Compare)

957 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6671
Phone (813) 634-1484

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision95
Removal of skin lesions97
Removal of skin cancer534
Removal of nail tissue1-10
Removal or shaving of skin growth18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95249FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hightower Dermatology Services, LLC Dermatology CurrentSince Apr 12, 2009 Accepting new patients

Locations

957 E Del Webb Blvd
Ste 101
Sun City Ctr, FL 33573
Phone (813) 634-1484

Interoperability endpoints

  • Direct secure messaging: khightower@hightower.emadirect.md
  • FHIR API: https://api.platform.athenahealth.com/7320/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1437181559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 E DEL WEBB BLVD",
            "address_2": "SUITE 101",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736671",
            "telephone_number": "813-634-1484",
            "fax_number": "813-435-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 E DEL WEBB BLVD",
            "address_2": "SUITE 101",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736671",
            "telephone_number": "813-634-1484",
            "fax_number": "813-435-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "KORTNEY",
        "middle_name": "DORSEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME95249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.