DERMAVATION, S.C.
NPI 1013197862
Dermatology in Wauwatosa, WI

Active since November 09, 2007
201 N MAYFAIR RD, SUITE 550, WAUWATOSA, WI 53226(414) 258-3376(414) 475-6647 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dermavation, S.c. NPPES

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

DERMAVATION, S.C. (NPI 1013197862) is a healthcare organization registered as a dermatology in Wauwatosa, Wisconsin and active in the NPI registry since November 2007. The organization lists Manish J Gharia, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1013197862
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMAVATION, S.C.
Location Address201 N MAYFAIR RD, SUITE 550Wauwatosa, WI 53226-4216
Mailing Address4555 W Schroeder Dr Ste 170Milwaukee, WI 53223-6456 · (414) 365-3210 · Fax (414) 365-3225
Fax(414) 475-6647
Organization SubpartNo
Authorized OfficialManish J GhariaOwner/president · (414) 258-3376
Enumeration DateNovember 9, 2007
Last NPPES UpdateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1013197862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
201 N MAYFAIR RD, Wauwatosa, WI 53226

Other Identifiers 1

Medicaid34248400WI

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 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)

Dermavation, S.c. 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 Dermavation, S.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1376565267
13800 W NORTH AVE STE 100
Brookfield, WI 53005
(262) 754-4940
✔ PECOS✔ Accepts Medicare2.7 mi
Family Practice
NPI 1154436160
W231N1440 CORPORATE CT
Waukesha, WI 53186
(262) 896-6000
✔ PECOS✔ Accepts Medicare8.3 mi

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 Dermavation, S.C.'s NPI number?

The NPI number for Dermavation, S.C. is 1013197862. It was assigned to this organization in the NPPES registry on November 9, 2007.

Where is Dermavation, S.C. located?

Dermavation, S.C. is located at 201 N Mayfair Rd Suite 550, Wauwatosa, WI 53226. The listed phone number is (414) 258-3376.

What is Dermavation, S.C.'s specialty?

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

Is Dermavation, S.C. enrolled in Medicare?

Yes. Dermavation, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermavation, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dermavation, S.C., in Dermatology and Family Practice. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermavation, S.C. was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.