ADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C.
NPI 1023610888
Dermatology in Centennial, CO

Q: What is Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.'s specialty?

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

Active since November 16, 2020CLIA Certified · 3 labs

12645 E. EUCLID DRIVE, CENTENNIAL, CO 80111(303) 493-1910(303) 493-1915 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Advanced Dermatology Skin Cancer & Laser Surgery Center P.c. NPPES

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

ADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C. (NPI 1023610888) is a healthcare organization registered as a dermatology in Centennial, Colorado and active in the NPI registry since November 2020. The organization holds 3 active CLIA laboratory certificates and lists Gregory G Papaleas, Doctor Of Osteopathic Medicine, as its authorized official.

NPPES Registry Identity

NPI1023610888

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C.

Location Address12645 E. EUCLID DRIVECentennial, CO 80111-6437

Mailing Address3464 S. Willow Street, Suite 194Denver, CO 80231-4531 · (303) 755-2900 · Fax (303) 755-0404

Phone(303) 493-1910

Fax(303) 493-1915

Organization SubpartNo

Authorized OfficialGregory G PapaleasDoctor Of Osteopathic Medicine · (303) 368-8611

Enumeration DateNovember 16, 2020

NPPES CertifiedNovember 16, 2020

✔ NPI 1023610888 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.

12645 E. EUCLID DRIVE, Centennial, CO 80111

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology Skin Cancer & Laser Surgery Center P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date

StateColoradoEnrollment IDO20040313000244Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 20 clinicians reassign Medicare billing to Advanced Dermatology Skin Cancer & Laser Surgery Center P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology18

Micrographic Dermatologic Surgery (MDS)2

Clinicians, nearest first (20)

Steven Brenman, D.O.

Dermatology

NPI 1245240902

12645 E EUCLID DR
Centennial, CO 80111

(303) 493-1910

✔ PECOS✔ Accepts MedicareSame address

Jamie Surovik, MD

Dermatology

NPI 1699092221

12645 E EUCLID DR
Centennial, CO 80111

(303) 493-1910

✔ PECOS✔ Accepts MedicareSame address

Jamison Strahan, MD

Micrographic Dermatologic Surgery (MDS)

NPI 1578600839

12645 E EUCLID DR
Centennial, CO 80111

(303) 493-1910

✔ PECOS✔ Accepts MedicareSame address

Anne Hanson, D.O.

Dermatology

NPI 1558676668

9399 CROWN CREST BLVD SUITE 400
Parker, CO 80138

(303) 840-1472

✔ PECOS✔ Accepts Medicare5.1 mi

Sean Amsbaugh, M.D.

Dermatology

NPI 1073561007

1390 S POTOMAC ST SUITE 124
Aurora, CO 80012

(303) 368-8611