Individual provider Active NPI

Whitney Lapolla Delozier, MD

  • Dermatology Physician
  • Largo, FL
National Provider Identifier
1770726499
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME122426 Issued in FL
Practice address
8787 Bryan Dairy Rd Ste 360
Largo, FL 33777-1260
Phone
(727) 393-4900
NPI assigned
Apr 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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 ME122426 FL Primary

Addresses

Primary practice location

8787 Bryan Dairy Rd Ste 360
Largo, FL 33777-1260

Mailing address

4651 Van Dyke Rd
Lutz, FL 33558-4880
Phone (813) 321-1786

Other names 1

  • Whitney Jeanne Lapolla 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
I20151216001152 FL Practitioner - Dermatology 4183925167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians

Practice addresses (Care Compare)

4651 Van Dyke Rd
Lutz, FL 33558-4880
Phone (813) 321-1786

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision86
Removal of tissue13
Removal of skin lesions1483
Removal of skin cancer320
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy401

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122426FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions Dermatology CurrentSince Nov 1, 2015 Accepting new patients
Douglas K Pierce MD PA PastSince Nov 1, 2015 Accepting new patients

Locations

500 Vonderburg Dr
Ste 115W
Brandon, FL 33511
Phone (813) 535-6212

500 Vonderburg Dr
Ste 206E
Brandon, FL 33511
Phone (813) 662-3777

12900 Cortez Blvd
Ste 205
Brooksville, FL 34613
Phone (352) 484-1144

4651 Van Dyke Rd
Lutz, FL 33558

32615 US Highway 19 N
Ste 1
Palm Harbor, FL 34684
Phone (727) 605-2763

2001 Siesta Dr
Ste 201
Sarasota, FL 34239
Phone (941) 365-5582

11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786

8787 Bryan Dairy Rd
Ste 360
Seminole, FL 33777
Phone (727) 393-4900

6499 38th Ave N
Ste B2
St Petersburg, FL 33710
Phone (727) 347-6635

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1770726499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584880",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD STE 360",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771260",
            "telephone_number": "727-393-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOZIER",
        "first_name": "WHITNEY",
        "middle_name": "LAPOLLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME122426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "LAPOLLA",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.