Individual provider Active NPI

Priya Mahindra Nayyar, M.D.

  • MOHS-Micrographic Surgery Physician
  • St. Petersburg, FL
National Provider Identifier
1649407719
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME127446 Issued in FL
Practice address
3085 Dr. MLK Jr St. N
St. Petersburg, FL 33704-2034
Phone
(727) 888-0900
Fax
(727) 233-3838
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME127446 FL Primary

Addresses

Primary practice location

3085 Dr. MLK Jr St. N
St. Petersburg, FL 33704-2034

Mailing address

3085 Dr. MLK Jr St. N
St. Petersburg, FL 33704-2034
Phone (727) 888-0900

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
I20161104000807 FL Practitioner - Dermatology 7315260148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Practice addresses (Care Compare)

3085 Martin Luther King St N
St Petersburg, FL 33704-2034
Phone (941) 312-5027

350 S Indiana Ave
Englewood, FL 34223-3715
Phone (941) 474-8811

8430 Cooper Creek Blvd
Suite 102
University Park, FL 34201-2016
Phone (941) 360-2255

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision218
Removal of skin lesions1185
Removal of skin cancer909
Removal or shaving of skin growth1-10
Skin biopsy411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127446FLMDMOHS-Micrographic Surgery Physician

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1649407719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 DR. MLK JR ST. N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337042034",
            "telephone_number": "727-888-0900",
            "fax_number": "727-233-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 DR. MLK JR ST. N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337042034",
            "telephone_number": "727-888-0900",
            "fax_number": "727-233-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYYAR",
        "first_name": "PRIYA",
        "middle_name": "MAHINDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME127446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

Verify at the official NPI Registry.