SARA RUSSO MD NPI 1659991628

NPI Information

  • NPI: 1659991628
  • Provider Name: SARA RUSSO, MD
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7800 W OAKLAND PARK BLVD STE 116
    SUNRISE, FL
    ZIP 33351
  • Phone: (954) 742-0306

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NPI Details

Sara Russo, MD is a mohs-micrographic surgery dermatology in Sunrise, FL with 6 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Sara Russo, MD NPI is 1659991628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TORONTO, FACULTY OF MEDICINE
Graduation Year:2020

The provider's business location address is:

7800 W OAKLAND PARK BLVD STE 116
SUNRISE, FL
ZIP 33351-123
Phone: (954) 742-0306
Fax: (954) 572-5867

The NPI 1659991628 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2020 and was last updated on 9/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryME168072FLORIDAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207N00000XDermatologyME168072FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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