Erica Ann Mailler, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

ME 105564 Issued in FL

Practice address

7335 W Sand Lake Rd Ste 200
Orlando, FL 32819-5539

Phone

(407) 352-8553

Fax

(407) 351-8412

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, VA2 enrollments

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 2

Specialty

Dermatology

Education

Wright State University Boonshoft School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates IncGroup PAC ID 2668415357, 6 clinicians

Sand Lake Dermatology Center PAGroup PAC ID 6709853088, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.73 of 100Reported as individual

Quality

85.47

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emailler@sandlake.emadirect.md
• Direct secure messaging: e.mailler@dermmds.emadirect.md

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.

• Sand Lake Dermatology Center, P.a.

  • Specialist
  • Orlando, FL
  • NPI 1558315234
  Medicare reassignment Care Compare group NPD
• Dermatology Associates Inc

  • Dermatology Physician
  • Winchester, VA
  • NPI 1336140623
  Medicare reassignment Care Compare group NPD
• St. Petersburg Dermatology, LLC

  • Dermatology Physician
  • St Petersburg, FL
  • NPI 1205381175
  Medicare reassignment NPD
• Dermatology Center of Loudoun, PLC

  • Dermatology Physician
  • Leesburg, VA
  • NPI 1699972406
  Medicare reassignment NPD
• K and C Cobb MDS LLC

  • Dermatology Physician
  • Lynchburg, VA
  • NPI 1578181178
  Medicare reassignment NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• University Dermatology Consultants, Inc

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1881648236
  NPD (past)
• University of Cincinnati Physicians, Inc.

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1417108697
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1508077801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 W SAND LAKE RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195539",
            "telephone_number": "407-352-8553",
            "fax_number": "407-351-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 W SAND LAKE RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195539",
            "telephone_number": "407-352-8553",
            "fax_number": "407-351-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLER",
        "first_name": "ERICA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 105564",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME 105564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000567662",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emailler@sandlake.emadirect.md",
            "affiliation": "Y",
            "endpointDescription": "Direct Mail",
            "affiliationName": "SAND LAKE DERMATOLOGY CENTER, P.A.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7335 W Sand Lake Rd Ste 200",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328195539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimmy Mai
• Lindsey Morgan Mai
• Augustine Chiedu Maidoh
• Becky Maier
• Marsha Lynn Maile
• Nina Mailliard
• Nicole Mailloux, M.D.
• Main Street Childrens Dentistry and Orthodontics of Windermere PLLC
• Main Street Childrens Dentistry and Orthodontics Waterford Lakes PLLC
• Mainstreet Medical Center

• MOHS-Micrographic Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.

Verify at the official NPI Registry.