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SCOTT HOWARD DECKELBAUM DO NPI 1730100892


NPI Information

NPI: 1730100892
Provider Name: SCOTT HOWARD DECKELBAUM, DO
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

Organization: NAPLES CENTER FOR DERMATOLOGY AND RIVERCHASE DERMATOLOGY

PECOS Registration: Yes

Address:
603 N FLAMINGO RD STE 350
PEMBROKE PINES, FL
ZIP 33028
Phone: (954) 435-5100
Get Directions

Scott Howard Deckelbaum, DO is a mohs-micrographic surgery dermatology in Pembroke Pines, FL with 21 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. Scott Howard Deckelbaum, DO NPI is 1730100892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduation Year:2003

The provider's business location address is:

603 N FLAMINGO RD STE 350
PEMBROKE PINES, FL
ZIP 33028-013
Phone: (954) 435-5100
Fax: (954) 385-1533

The NPI 1730100892 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)

The enumeration date for this NPI number is 7/22/2006 and was last updated on 2/28/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology5176OKLAHOMANo
2207N00000XDermatology20A10789CALIFORNIANo
3207N00000XDermatology235559NEW YORKNo
4207Q00000XFamily Medicine5176OKLAHOMANo
5207Q00000XFamily Medicine20A10789CALIFORNIANo
6207Q00000XFamily Medicine235559-1NEW YORKNo
7207ND0101XDermatologyMOHS-Micrographic SurgeryOS14334FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102806417MEDICAIDNEW YORK

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: 11/14/2023

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