DERMATOLOGY AND SKIN SURGERY APMC
NPI 1023005758
Dermatology in Shreveport, LA
About Dermatology And Skin Surgery Apmc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY AND SKIN SURGERY APMC (NPI 1023005758) is a healthcare organization registered as a dermatology in Shreveport, Louisiana and active in the NPI registry since September 2005. The organization lists Jack S Resneck, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology And Skin Surgery Apmc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Dermatology And Skin Surgery Apmc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Shreveport, LA 71103
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 Dermatology And Skin Surgery Apmc's NPI number?
The NPI number for Dermatology And Skin Surgery Apmc is 1023005758. It was assigned to this organization in the NPPES registry on September 27, 2005.
Where is Dermatology And Skin Surgery Apmc located?
Dermatology And Skin Surgery Apmc is located at 9007 Ellerbe Rd, Shreveport, LA 71106. The listed phone number is (318) 222-3278.
What is Dermatology And Skin Surgery Apmc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology And Skin Surgery Apmc enrolled in Medicare?
Yes. Dermatology And Skin Surgery Apmc is registered in the Medicare PECOS enrollment system.
When is Dermatology And Skin Surgery Apmc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dermatology And Skin Surgery Apmc?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology And Skin Surgery Apmc. 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. The largest specialties are Dermatology (8) and Nurse Practitioner (2). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dermatology And Skin Surgery Apmc accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Dermatology And Skin Surgery Apmc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dermatology And Skin Surgery Apmc was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dermatology And Skin Surgery Apmc · NPI 1023005758
Dermatology organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since September 27, 2005.
## Identity
- **NPI:** 1023005758 (Entity type: Organization)
- **Enumerated:** September 27, 2005
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Jack Resneck, PRESIDENT
## Practice location
- **Address:** 9007 ELLERBE RD, Shreveport, LA 71106-6724
- **Phone:** (318) 222-3278 · **Fax:** (318) 424-3155
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (8), Nurse Practitioner (2); 1 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023005758) · Data from the CMS NPPES public registry.