Individual provider Active NPI

Sima Jain, M.D.

  • Dermatology Physician
  • Orlando, FL
National Provider Identifier
1881883494
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME102573 Issued in FL
Practice address
4800 S Apopka Vineland Rd
Orlando, FL 32819-3127
Phone
(407) 876-5555
Fax
(407) 876-5557
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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 ME102573 FL Primary

Addresses

Primary practice location

4800 S Apopka Vineland Rd
Orlando, FL 32819-3127

Mailing address

4800 S Apopka Vineland Rd
Orlando, FL 32819-3127
Phone (407) 876-5555

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
I20120126000306 FL Practitioner - Dermatology 5799853446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

100 W Gore St
Suite 602
Orlando, FL 32806-1051
Phone (407) 299-7333

7300 Sandlake Commons Blvd
Suite 300
Orlando, FL 32819-8011
Phone (407) 866-1213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions483
Skin biopsy76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. Dermatology CurrentSince Mar 1, 2013 Accepting new patients
All About Medicine LLC PastSince Apr 6, 2025 Accepting new patients

Locations

815 Oakley Seaver Dr
Clermont, FL 34711

10125 W Colonial Dr
Ste 101
Ocoee, FL 34761
Phone (407) 777-2503

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

4151 Hunters Park Ln
Ste 156
Orlando, FL 32837

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

829 Woodbury Rd
Ste 103
Orlando, FL 32828

Organizations & group practices 3

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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1881883494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193127",
            "telephone_number": "407-876-5555",
            "fax_number": "407-876-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193127",
            "telephone_number": "407-876-5555",
            "fax_number": "407-876-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME102573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.