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AZEAL DERMATOLOGY INSTITUTE, LLC
NPI 1003209248
Dermatology in Boulder, CO

Active since March 12, 2015
5365 SPINE RD, SUITE C, BOULDER, CO 80301(303) 530-9325 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Azeal Dermatology Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZEAL DERMATOLOGY INSTITUTE, LLC (NPI 1003209248) is a healthcare organization registered as a dermatology in Boulder, Colorado and active in the NPI registry since March 2015. The organization lists Stacey Pilkington, Owner, as its authorized official.

NPPES Registry Identity

NPI1003209248
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAZEAL DERMATOLOGY INSTITUTE, LLC
Location Address5365 SPINE RD, SUITE CBoulder, CO 80301-3324
Mailing AddressPo Box 7446Loveland, CO 80537-0446 · (970) 663-2742 · Fax (970) 667-0847
Phone(303) 530-9325
Organization SubpartNo
Authorized OfficialStacey PilkingtonOwner · (303) 530-9325
Enumeration DateMarch 12, 2015
Last NPPES UpdateSeptember 15, 2015
✔ NPI 1003209248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
5365 SPINE RD, Boulder, CO 80301
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Other Identifiers 2

Medicare PIN414110CO
Medicaid77885376CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azeal Dermatology Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Azeal Dermatology Institute, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jamie Hale, D.O.
Dermatology
NPI 1104106053
5365 SPINE RD SUITE C
Boulder, CO 80301
(303) 530-9325
✔ PECOS✔ Accepts MedicareSame address
Stacey Pilkington, D.O.
Dermatology
NPI 1215217096
5365 SPINE RD STE C
Boulder, CO 80301
(303) 530-9325
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azeal Dermatology Institute, LLC's NPI number?

The NPI number for Azeal Dermatology Institute, LLC is 1003209248. It was assigned to this organization in the NPPES registry on March 12, 2015.

Where is Azeal Dermatology Institute, LLC located?

Azeal Dermatology Institute, LLC is located at 5365 Spine Rd Suite C, Boulder, CO 80301. The listed phone number is (303) 530-9325.

What is Azeal Dermatology Institute, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Azeal Dermatology Institute, LLC enrolled in Medicare?

Yes. Azeal Dermatology Institute, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azeal Dermatology Institute, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Azeal Dermatology Institute, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Azeal Dermatology Institute, LLC was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.