ELIAS DERMATOLOGY LLC
NPI 1487042636
Dermatology - Clinical & Laboratory Dermatological Immunology in Fort Lauderdale, FL
NPI Status: Active since December 22, 2014
Contact Information
3100 E COMMERCIAL BLVD
FORT LAUDERDALE, FL
ZIP 33308
Phone: (415) 802-1310
Fax: (954) 771-0582
- Organization
- Dermatology
- Clinical & Laboratory Dermatological Imm...
- Accepts Insurance
- CLIA Number: 10D2103178
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-13-2025
About ELIAS DERMATOLOGY LLC
This page provides the complete NPI Profile along with additional information for Elias Dermatology Llc, a provider established in Fort Lauderdale, Florida operating as a Dermatology, focusing in clinical & laboratory dermatological immunology . The healthcare provider is registered in the NPI registry with number 1487042636 assigned on December 2014. The practitioner's primary taxonomy code is 207NI0002X with license number OS9756 (FL). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Matthew J Elias D.o. (Manager Member)
- NPI
- 1487042636
- Provider Name
- ELIAS DERMATOLOGY LLC
- Entity Type
- Organization
- Location Address
- 3100 E COMMERCIAL BLVD FORT LAUDERDALE, FL 33308
- Location Phone
- (415) 802-1310
- Location Fax
- (954) 771-0582
- Mailing Address
- 3100 E COMMERCIAL BLVD FORT LAUDERDALE, FL 33308
- Mailing Phone
- (415) 802-1310
- Mailing Fax
- (954) 771-0582
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-22-2014
- Last Update Date
- 12-13-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology Clinical & Laboratory Dermatological Immunology
- Taxonomy Code
- 207NI0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS9756
- License State
- FL
- Taxonomy Description
- A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | OS9756 (FL) |
| 2 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | OS9756 (FL) |
| 3 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | OS9756 (FL) |
| 4 | 207NP0225X | Allopathic & Osteopathic Physicians | Dermatology | OS9756 (FL) |
| 5 | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology | OS9756 (FL) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2103178
- Facility Type
- Physician Office
- Certificate Effective Date
- December 14, 2023
- Certificate Expiration Date
- December 13, 2025
- Laboratory Director
- MATTHEW J. ELIAS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Elias Dermatology Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 0 | 4 | 2 | 6 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 0 | 4 | 4 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 0 + 4 + 4 + 6 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1487042636 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912202672 | THE RECOVERY PLACE, INC Organization | Substance Abuse Rehabilitation Facility | 3100 E COMMERCIAL BLVD FORT LAUDERDALE, FL 33308 (954) 746-8232 |
| 1669758355 | EBH ACQUISITION SUBSIDIARY, INC Organization | Substance Abuse Rehabilitation Facility | 3100 E COMMERCIAL BLVD FT LAUDERDALE, FL 33308 (954) 200-8308 |
| 1518243088 | EBH ACQUISITION SUSSIDIARY Organization | Substance Abuse Rehabilitation Facility | 3100 E COMMERCIAL BLVD FORT LAUDERDALE, FL 33308 (954) 746-8232 |
| 1427334952 | EBH ACQUISITION SUBSIDIARY Organization | Substance Abuse Rehabilitation Facility | 3100 E COMMERCIAL BLVD FORT LAUDERDALE, FL 33308 (954) 746-8232 |
| 1043608938 | TONI RIEGER M.S Individual | Clinic/Center | 3100 E COMMERCIAL BLVD FORT LAUDERDALE, FL 33308 (954) 332-0599 |
| 1205215779 | BEL CANTO DETOX Organization | Substance Abuse Rehabilitation Facility | 3100 E COMMERCIAL BLVD FORT LAUDERDALE, FL 33308 (615) 567-7256 |
| 1477911642 | EBH ACQUISITION SUBSIDIARY, INC Organization | Internal Medicine | 3100 E COMMERCIAL BLVD FT LAUDERDALE, FL 33308 (615) 567-7256 |
| 1821293564 | THE RECOVERY PLACE, INC Organization | Substance Abuse Rehabilitation Facility | 3100 E COMMERCIAL BLVD FT LAUDERDALE, FL 33308 (954) 200-8308 |
| 1164051967 | OCEAN BREEZE DETOX, LLC Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 3100 E COMMERCIAL BLVD FT LAUDERDALE, FL 33308 (954) 893-2710 |
| 1164951372 | RECOVERY FIRST OF FLORIDA, LLC Organization | Substance Abuse Rehabilitation Facility | 3100 E COMMERCIAL BLVD FORT LAUDERDALE, FL 33308 (615) 727-8416 |
| 1114118163 | MATTHEW J ELIAS D.O. Individual | Dermatology | 3100 E COMMERCIAL BLVD FORT LAUDERDALE, FL 33308 (954) 771-0582 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487042636, enumerated in the NPI registry as an "organization" on December 22, 2014
The provider is located at 3100 E Commercial Blvd Fort Lauderdale, Fl 33308 and the phone number is (415) 802-1310
This medical organization specializes in Dermatology with taxonomy code 207NI0002X with a focus in Clinical & Laboratory Dermatological Immunology
The provider might be accepting Accepts: AvMed, Cigna Healthcare and Florida Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2103178 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on December 22, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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