Individual provider Active NPI

Sara Russo, MD

  • MOHS-Micrographic Surgery Physician
  • Coral Springs, FL
National Provider Identifier
1659991628
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME168072 Issued in FL
Practice address
1460 N University Dr
Coral Springs, FL 33071-6040
Phone
(954) 752-7552
Fax
(954) 752-4737
NPI assigned
Apr 20, 2020
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME168072 FL Primary
Dermatology Physician 207N00000X ME168072 FL

Addresses

Primary practice location

1460 N University Dr
Coral Springs, FL 33071-6040

Mailing address

1460 N University Dr
Coral Springs, FL 33071-6040
Phone (954) 752-7552

Other names 1

  • Sara Yumeen Former name

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
I20250516002072 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1153730460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Toronto, Faculty of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

7800 W Oakland Park Blvd
Suite 116
Sunrise, FL 33351-1123
Phone (954) 742-0306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions90
Removal of skin cancer25
Skin biopsy29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Current Accepting new patients
Skin and Cancer Associates Dermatology CurrentSince Jun 1, 2025 Accepting new patients
Dermatology Consultants of S FL PA Dermatology PastSince Mar 1, 2025 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

21020 State Road 7
#120
Boca Raton, FL 33428

1460 N University Dr
Coral Springs, FL 33071
Phone (954) 510-7505

13660 S Jog Rd
Ste 8
Delray Beach, FL 33446
Phone (561) 637-4040

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

7800 W Oakland Park Blvd
Ste 116
Sunrise, FL 33351
Phone (954) 742-0306

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: syumeen@direct.carene.org

Organizations & group practices 4

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1659991628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716040",
            "telephone_number": "954-752-7552",
            "fax_number": "954-752-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716040",
            "telephone_number": "954-752-7552",
            "fax_number": "954-752-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME168072",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME168072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "YUMEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.