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

Dr. Luiz C Pantalena Filho, MD, PHD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1225321722

Dr. Luiz C Pantalena Filho, MD, PHD is a Micrographic Dermatologic Surgery (Mds) in South Bend, Indiana. Graduated from Stanford University School of Medicine in 2010, 16 years ago. Practices with Cardinal Dermatology LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Trained at
Stanford University School of Medicine
Licensed in
IN
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4322 S Lafayette Blvd
South Bend, IN 46614-2518
Phone: (574) 391-1111
Fax: (574) 859-5040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 01073773A (IN)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 01073773A (IN)

Record details

NPI number1225321722
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMay 17, 2011
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Cardinal Dermatology Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount