Individual provider Active NPI

Rama Vaitla, MD

  • Dermatology Physician
  • Boynton Beach, FL
National Provider Identifier
1821050949
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME79506 Issued in FL
Practice address
7740 Boynton Beach Blvd.
Boynton Beach, FL 33437
Phone
(561) 752-8000
Fax
(561) 752-8001
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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 ME79506 FL Primary

Addresses

Primary practice location

7740 Boynton Beach Blvd.
Boynton Beach, FL 33437

Mailing address

7740 Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone (561) 752-8000

Other identifiers 1

IdentifierTypeStateIssuer
06957YOtherFLMEDICARE PTAN

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
I20130620000630 FL Practitioner - Dermatology 2264440130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Chicago, Pritzker School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Care Physicians LLCGroup PAC ID 0840364790, 9 clinicians

Practice addresses (Care Compare)

7740 Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone (561) 752-5592

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions184
Removal or shaving of skin growth1-10
Skin biopsy83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians LLC CurrentSince Jun 26, 2013 Accepting new patients
Skin Care Physicians Dermatology PastSince Jun 26, 2013 Accepting new patients

Locations

7740 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 752-5592

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1821050949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373804",
            "telephone_number": "561-752-8000",
            "fax_number": "561-752-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 BOYNTON BEACH BLVD.",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-752-8000",
            "fax_number": "561-752-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAITLA",
        "first_name": "RAMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME79506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "06957Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.