Individual provider Active NPI

Ann Mary John, M.D.

  • MOHS-Micrographic Surgery Physician
  • Coconut Grove, FL
National Provider Identifier
1922461219
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME148344 Issued in FL
Practice address
2750 SW 37TH Ave FL 1
Coconut Grove, FL 33133-2764
Phone
(305) 774-7001
NPI assigned
Apr 4, 2016
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME148344 FL Primary

Addresses

Primary practice location

2750 SW 37TH Ave FL 1
Coconut Grove, FL 33133-2764

Mailing address

2750 SW 37TH Ave FL 1
Coconut Grove, FL 33133-2764

Other practice location 1

20937 Lyons Rd
Boca Raton, FL 33428-1423
Phone (561) 483-5666

Other practice location 2

10383 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3782
Phone (561) 739-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200702002243 NJ Practitioner - Dermatology 9234552514 Reassigns benefits to 1 organization
I20211104003239 FL Practitioner - Dermatology 9234552514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

4 Paragon Way
Suite 300
Freehold, NJ 07728-7805
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision67
Removal of skin lesions225
Removal of skin cancer486
Skin biopsy98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susana Leal-Khouri, Mdpa CurrentSince Nov 1, 2021 Accepting new patients
Khouri Laboratories, Inc PastSince Nov 21, 2021 Accepting new patients

Locations

2750 SW 37th Ave
Fl 1
Coconut Grove, FL 33133
Phone (305) 774-7001

2750 SW 37th Ave
Fl 2
Coconut Grove, FL 33133
Phone (305) 361-8200

580 Crandon Blvd
Ste 101
Key Biscayne, FL 33149
Phone (305) 361-8200

Interoperability endpoints

  • Direct secure messaging: ajohn@pdp.emadirect.md
  • Direct secure messaging: ann.john@schweigerderm.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1922461219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SW 37TH AVE FL 1",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SW 37TH AVE FL 1",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332764",
            "telephone_number": "305-774-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20937 Lyons Rd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281423",
            "country_code": "US",
            "telephone_number": "561-483-5666",
            "fax_number": "561-451-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10383 Hagen Ranch Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373782",
            "country_code": "US",
            "telephone_number": "561-739-5252",
            "fax_number": "561-739-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ANN",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME148344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

Verify at the official NPI Registry.