Rising Sun Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RISING SUN DERMATOLOGY PLLC

Doing business as

Rising Sun Dermatology & Cosmetics Center

Practice address

665 State Road 207
St Augustine, FL 32084-5938

Phone

(904) 325-6165

Fax

(904) 944-3044

NPI assigned

Aug 24, 2023

Last updated

Jan 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sami Kameel Saikaly, MDNPI 1831620004

Title

Dermatologist/Manager

Phone

(904) 377-3471

Specialties & licenses 1

Addresses

Other names 1

• RISING SUN DERMATOLOGY & COSMETICS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sami Kameel Saikaly, M.D.

  • Dermatology Physician
  • St Augustine, FL
  • NPI 1831620004
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1477337988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 STATE ROAD 207 STE 108",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845939",
            "telephone_number": "904-325-6165",
            "fax_number": "904-944-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 STATE ROAD 207",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845938",
            "telephone_number": "904-325-6165",
            "fax_number": "904-944-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING SUN DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "SAIKALY",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "KAMEEL",
        "authorized_official_title_or_position": "DERMATOLOGIST/MANAGER",
        "authorized_official_telephone_number": "904-377-3471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISING SUN DERMATOLOGY & COSMETICS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RISING SUN DERMATOLOGY & COSMETICS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Ridge, DPT
• Steve Rigaud, MD
• Sherry Vossler Risch, PH.D
• Rise Beyond LLC
• Jessica Rishell
• Riskey Business Inc
• Linda Ritch
• Jennifer Ritschl, APRN
• Lakisha S Rivers
• Riverside Spine & Pain Physicians, LLC

• Dermatology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.