Individual provider Active NPI

Sholomo Josep Lanes, M.D.

  • Vascular Surgery Physician
  • Hollywood, FL
National Provider Identifier
1649584251
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME105742 Issued in FL
Practice address
3850 Hollywood Blvd Ste 301
Hollywood, FL 33021
Phone
(954) 961-1200
Fax
(954) 963-0378
NPI assigned
Aug 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME105742 FL
Vascular Surgery Physician 2086S0129X ME105742 FL Primary

Addresses

Primary practice location

3850 Hollywood Blvd Ste 301
Hollywood, FL 33021

Mailing address

3850 Hollywood Blvd Ste 301
Hollywood, FL 33021-6745
Phone (954) 961-1200

Other identifiers 1

IdentifierTypeStateIssuer
ME105742OtherFLFLORIDA MEDICAL 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
I20110524000735 FL Practitioner - Vascular Surgery 6709062904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

1001 NW 13TH St
Suite 100
Boca Raton, FL 33486-2269
Phone (561) 750-0544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105742FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group of Florida, P.a. CurrentSince Jan 1, 2018 Accepting new patients
Sholomo J Lanes MD PA Vascular Surgery PastSince Jan 1, 2017 Accepting new patients

Locations

2999 NE 191st St
Ph 1
Aventura, FL 33180
Phone (305) 405-6910

1001 NW 13th St
Ste 100
Boca Raton, FL 33486
Phone (561) 750-0544

3470 NW 82nd Ave
Ste 111
Doral, FL 33122
Phone (786) 272-2500

1250 E Hallandale Beach Blvd
Ste 800
Hallandale Beach, FL 33009
Phone (954) 456-5050

3850 Hollywood Blvd
Ste 301
Hollywood, FL 33021
Phone (954) 961-1200

3850 Hollywood Blvd
Ste 403
Hollywood, FL 33021
Phone (954) 961-1200

3850 Hollywood Blvd
Ste 201
Hollywood, FL 33021
Phone (954) 961-1200

18801 NE 29th Ave
Ste M202
Miami, FL 33180

7800 SW 57th Ave
Ste 110
South Miami, FL 33143
Phone (305) 740-6181

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1649584251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLLYWOOD BLVD STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216745",
            "telephone_number": "954-961-1200",
            "fax_number": "954-963-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLLYWOOD BLVD STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-961-1200",
            "fax_number": "954-963-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANES",
        "first_name": "SHOLOMO",
        "middle_name": "JOSEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME105742",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME105742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME105742",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.