Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lee S Portnoff, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1043214505

Dr. Lee S Portnoff, MD is a Dermatology in Saint Louis, Missouri. Graduated from Washington University School of Medicine in 1978, 48 years ago. Practices with Epiphany Dermatology of Missouri LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
48
Trained at
Washington University School of Medicine
Licensed in
MO
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4 Dunleith Dr
Saint Louis, MO 63124-1895
Phone: (314) 705-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence R9730 (MO)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence R9730 (MO)
Dermatology Physician Taxonomy 207N00000X · Licence R9730 (MO)

Record details

NPI number1043214505
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2005
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Epiphany Dermatology Of Missouri Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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