Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COLLO ROSSO DERMATOLOGY, PC
NPI 1033964374
Dermatology in Chapin, SC

Active since April 19, 2024
200 CLARK ST, CHAPIN, SC 29036(803) 233-8668(619) 367-0403 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2026, Jul 24, 2026, Dec 26, 2025 and 2 more (5 updates tracked since 2024).

About Collo Rosso Dermatology, Pc NPPES

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

COLLO ROSSO DERMATOLOGY, PC (NPI 1033964374) is a healthcare organization registered as a dermatology in Chapin, South Carolina and active in the NPI registry since April 2024. The organization maintains 5 additional practice locations and lists Amber Rakestraw, Manager, as its authorized official.

NPPES Registry Identity

NPI1033964374
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOLLO ROSSO DERMATOLOGY, PC
Location Address200 CLARK STChapin, SC 29036-8633
Mailing Address306 Lexington AveChapin, SC 29036-8086 · (803) 233-8668 · Fax (803) 956-9330
Fax(619) 367-0403
Organization SubpartNo
Authorized OfficialAmber RakestrawManager · (803) 233-8668
Enumeration DateApril 19, 2024
Last NPPES UpdateOctober 11, 20265 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1033964374 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 · DermatopathologyTaxonomy 207ND0900X
200 CLARK ST, Chapin, SC 29036

Secondary Practice Locations 5

Location 12924 Siskiyou Blvd Ste 200Medford, OR 97504-6462 · Phone (541) 214-2575
Location 215 S Central AveMonteagle, TN 37356-3074 · Phone (803) 233-8668
Location 3220 N Park Ave Ste 2Herrin, IL 62948-3150 · Phone (803) 233-8668
Location 4306 Lexington AveChapin, SC 29036 · Phone (803) 233-8668
Location 51175 Cook Rd Ste 125Orangeburg, SC 29118-8201 · Phone (803) 233-8668 · Fax (803) 956-9330

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collo Rosso Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Collo Rosso Dermatology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1326469743
200 CLARK ST
Chapin, SC 29036
(803) 233-8668
✔ 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 Collo Rosso Dermatology, PC's NPI number?

The NPI number for Collo Rosso Dermatology, PC is 1033964374. It was assigned to this organization in the NPPES registry on April 19, 2024.

Where is Collo Rosso Dermatology, PC located?

Collo Rosso Dermatology, PC is located at 200 Clark St, Chapin, SC 29036. The listed phone number is (803) 233-8668.

What is Collo Rosso Dermatology, PC's specialty?

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

Is Collo Rosso Dermatology, PC enrolled in Medicare?

Yes. Collo Rosso Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collo Rosso Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Collo Rosso Dermatology, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Collo Rosso Dermatology, PC was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.