Individual provider Active NPI

Elyse Julian, DO

  • Dermatology Physician
  • Plantation, FL
National Provider Identifier
1851743587
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
UO5205 Issued in FL
Practice address
333 NW 70TH Ave Ste 116
Plantation, FL 33317-2364
Phone
(954) 371-2208
Fax
(954) 405-8802
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 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 UO5205 FL Primary

Addresses

Primary practice location

333 NW 70TH Ave Ste 116
Plantation, FL 33317-2364

Mailing address

333 NW 70TH Ave Ste 116
Plantation, FL 33317-2364
Phone (954) 371-2208

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
I20190731001221 FL Practitioner - Dermatology 4284960097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

333 NW 70TH Ave
Suite 116
Plantation, FL 33317-2364
Phone (954) 371-2208

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision116
Removal of skin lesions611
Removal of skin cancer211
Removal or shaving of skin growth1-10
Skin biopsy504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO5205FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Derm Group LLP Dermatology CurrentSince Dec 1, 2022 Accepting new patients
Francisco Flores MD PA Dermatology Current Accepting new patients

Locations

1323 SE 4th Ave
Ft Lauderdale, FL 33316
Phone (954) 371-2208

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

333 NW 70th Ave
Ste 116
Plantation, FL 33317
Phone (954) 371-2208

11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135
  • Direct secure messaging: drjulian@leadingedgederm.emadirect.md

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1851743587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NW 70TH AVE STE 116",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172364",
            "telephone_number": "954-371-2208",
            "fax_number": "954-405-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NW 70TH AVE STE 116",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172364",
            "telephone_number": "954-371-2208",
            "fax_number": "954-405-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "UO5205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.