Individual provider Active NPI

Rahul N Chavan, MD

  • MOHS-Micrographic Surgery Physician
  • Pensacola, FL
National Provider Identifier
1992956247
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME127870 Issued in FL
Practice address
3298 Summit Blvd Ste 12
Pensacola, FL 32503-4350
Phone
(850) 518-3881
Fax
(850) 746-0651
NPI assigned
Oct 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X ME127870 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME127870 FL Primary

Addresses

Primary practice location

3298 Summit Blvd Ste 12
Pensacola, FL 32503-4350

Mailing address

3298 Summit Blvd Ste 12
Pensacola, FL 32503-4350
Phone (850) 518-3881

Other identifiers 1

IdentifierTypeStateIssuer
P00888771OtherMNRAILROAD MEDICARE

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
I20161102001384 FL Practitioner - Dermatology 3577601848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Florida College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Dermatology and Spa LLCGroup PAC ID 4981087863, 2 clinicians

Practice addresses (Care Compare)

3298 Summit Blvd
Suite 12
Pensacola, FL 32503-4350
Phone (850) 746-0650

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision141
Removal of skin lesions2016
Removal of skin cancer650
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127870FLMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Dermatology and Spa LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

3298 Summit Blvd
Ste 12
Pensacola, FL 32503
Phone (850) 518-3881

Organizations & group practices 1

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1992956247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD STE 12",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034350",
            "telephone_number": "850-518-3881",
            "fax_number": "850-518-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD STE 12",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034350",
            "telephone_number": "850-518-3881",
            "fax_number": "850-746-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVAN",
        "first_name": "RAHUL",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME127870",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME127870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00888771",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.