Alexis B Honigbaum, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME140353 Issued in FL

Practice address

7995 66TH St N
Pinellas Park, FL 33781-2163

Phone

(727) 530-0920

Fax

(727) 827-7139

NPI assigned

May 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Dermatology

Education

Eastern Virginia Medical School, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Mahoney Dermatology Specialists PAGroup PAC ID 0244327542, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACIDAA
• Direct secure messaging: ahonigbaum@dmp.emadirect.md

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.

• Mahoney Dermatology Specialists PA

  • Dermatology Physician
  • Pinellas Park, FL
  • NPI 1316140791
  Medicare reassignment Care Compare group NPD
• Premier Dermatology, LLC

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1700202298
  Medicare reassignment Care Compare group NPD
• Nedab LLC

  • Dermatology Physician
  • Beverly, MA
  • NPI 1861864100
  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1720423932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7995 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812163",
            "telephone_number": "727-530-0920",
            "fax_number": "727-827-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7995 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812163",
            "telephone_number": "727-530-0920",
            "fax_number": "727-827-7139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 Pasadena Ave S Ste 4C",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "FL",
            "postal_code": "337074564",
            "country_code": "US",
            "telephone_number": "727-530-0920",
            "fax_number": "727-827-7139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONIGBAUM",
        "first_name": "ALEXIS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2023-05-18",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME140353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110176500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahonigbaum@dmp.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4197 Woodlands Pkwy",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346852823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Home Doctor Network, LLC
• Home Run Health, Inc.
• Home61 LLC
• Ma Asuncion Hondrade, OTL/R
• Miranda Honeycutt, RBT
• Hope Illuminated LLC
• Sierra Hope, LPN
• Hopebridge LLC
• Hopebridge LLC
• Hopebridge LLC

• Dermatology Physician in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.