Individual provider Active NPI

Sean A Sukal, M.D.

  • MOHS-Micrographic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1568538783
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME98259 Issued in FL
Practice address
2900 North Military Trail
Suite 100
Boca Raton, FL 33431
Phone
(561) 245-8877
Fax
(561) 322-3920
NPI assigned
Nov 28, 2006
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 ME98259 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME98259 FL Primary
Procedural Dermatology Physician 207NS0135X 229964 NY

Addresses

Primary practice location

2900 North Military Trail
Suite 100
Boca Raton, FL 33431

Mailing address

2900 North Military Trail
Suite 100
Boca Raton, FL 33431
Phone (561) 245-8877

Other identifiers 2

IdentifierTypeStateIssuer
229964OtherNYMEDICAL LICENSE
ME98259OtherFLMEDICAL LICENSE

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
I20071128000714 FL Practitioner - Dermatology 8628167640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean Arvindh Sukal MD PHD PAGroup PAC ID 5193862381, 3 clinicians

Practice addresses (Care Compare)

2900 N Military TRL
Suite 100
Boca Raton, FL 33431-6347
Phone (561) 245-8877

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
94.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision521
Removal of tissue1-10
Removal of skin lesions2954
Removal of skin cancer1319
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy2894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98259FLMDDermatology Physician
229964NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Arvindh Sukal, M.D., PH.D., P.a. Mohs-Micrographic Surgery CurrentSince Jan 9, 2017 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology Past Accepting new patients

Locations

2900 N Military Trl
Ste 100
Boca Raton, FL 33431
Phone (561) 245-8877

2900 N Military Trl
Ste 243
Boca Raton, FL 33431
Phone (561) 393-8224

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1568538783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NORTH MILITARY TRAIL",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-245-8877",
            "fax_number": "561-322-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NORTH MILITARY TRAIL",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-245-8877",
            "fax_number": "561-322-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKAL",
        "first_name": "SEAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME98259",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME98259",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "229964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "229964",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME98259",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.