St Petersburg Skin and Laser Center LLC
NPI 1205475761ActiveOrganization· Dermatology· St Petersburg, FL
Dermatology in St Petersburg, Florida, registered in NPPES in January 2020. The authorized official on file is Katarina R. Kesty, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205475761 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2020 |
| Last updated in NPPES | May 28, 2020 |
| Certified by provider | May 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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