Organization Active NPI

Alysa R. Herman, MD, PA

  • MOHS-Micrographic Surgery Physician
  • Coral Gables, FL
National Provider Identifier
1669293122
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
ALYSA R. HERMAN, MD, PA
Practice address
135 San Lorenzo Ave Ste 700
Coral Gables, FL 33146-1876
Phone
(305) 444-4979
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Alysa R Herman, MDNPI 1245235829
Title
Owner / President
Phone
(305) 444-4979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

135 San Lorenzo Ave Ste 700
Coral Gables, FL 33146-1876

Mailing address

135 San Lorenzo Ave Ste 700
Coral Gables, FL 33146-1876
Phone (305) 444-4979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241220000625 FL Part B Supplier - Clinic/Group Practice 0749717346 Receives reassigned benefits from 3 practitioners
Practice locations: Coral Gables, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2025872Alysa R Herman MD PA135 San Lorenzo Ave Suite 700, Coral Gables, FL 33146ComplianceAug 10, 2027

National Provider Directory

National Provider Directory

Locations

135 San Lorenzo Ave
Ste 700
Coral Gables, FL 33146
Phone (305) 444-4979

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1669293122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SAN LORENZO AVE STE 700",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461876",
            "telephone_number": "305-444-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SAN LORENZO AVE STE 700",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461876",
            "telephone_number": "305-444-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSA R. HERMAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "ALYSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "305-444-4979",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.