Individual provider Active NPI

Vassiliki Papastavros

  • Dermatology Physician
  • Pembroke Pines, FL
National Provider Identifier
1689038549
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME148876 Issued in FL
Practice address
9050 Pines Blvd Ste 200
Pembroke Pines, FL 33024-6456
Phone
(954) 433-0455
Fax
(954) 433-8771
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME148876 FL Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 200
Pembroke Pines, FL 33024-6456

Mailing address

2370 SW 131St Ter
Davie, FL 33325-5136
Phone (954) 632-7854

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
I20210726000977 FL Practitioner - Dermatology 9436445301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 2016
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)

9050 Pines Blvd
Suite 200
Pembroke Pines, FL 33024-6456
Phone (954) 433-0455

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions149
Skin biopsy90

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group of Florida, P.a. Dermatology CurrentSince Jul 1, 2021 Accepting new patients

Locations

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

4000 Hollywood Blvd
Ste 215S
Hollywood, FL 33021
Phone (954) 807-9332

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

9050 Pines Blvd
Ste 200
Pembroke Pines, FL 33024
Phone (305) 437-4800

Interoperability endpoints

  • Direct secure messaging: vpapastavros@dcm.emadirect.md

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1689038549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 SW 131ST TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255136",
            "telephone_number": "954-632-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246456",
            "telephone_number": "954-433-0455",
            "fax_number": "954-433-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPASTAVROS",
        "first_name": "VASSILIKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2021-12-16",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME148876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.