DERMASURGERY CENTER, LLC
NPI 1053579862
Dermatology in Metairie, LA

Active since May 28, 2008
111 VETERANS MEMORIAL BLVD STE 406, METAIRIE, LA 70005(504) 838-8225 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2025, Jan 26, 2023 (2 updates tracked since 2023).

About Dermasurgery Center, Llc NPPES

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

DERMASURGERY CENTER, LLC (NPI 1053579862) is a healthcare organization registered as a dermatology in Metairie, Louisiana and active in the NPI registry since May 2008. The organization lists Edward Lain, Md, as its authorized official.

NPPES Registry Identity

NPI1053579862
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMASURGERY CENTER, LLC
Location Address111 VETERANS MEMORIAL BLVD STE 406Metairie, LA 70005-3061
Mailing AddressPo Box 746767Atlanta, GA 30374-6767 · (225) 303-9500
Organization SubpartNo
Authorized OfficialEdward LainMd · (225) 303-9500
Enumeration DateMay 28, 2008
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1053579862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in LA · MD.200242
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 · License MD.200242 (LA)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License MD.200242 (LA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MD.200242 (LA)
111 VETERANS MEMORIAL BLVD STE 406, Metairie, LA 70005

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

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)

Dermasurgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 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.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20080811000028Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dermasurgery Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Dermatology
NPI 1548330202
3800 HOUMA BLVD SUITE 310
Metairie, LA 70006
(504) 454-2997
✔ PECOS✔ Accepts Medicare3.5 mi
Dermatology
NPI 1285175513
1504 ARABELLA ST
New Orleans, LA 70115
(504) 975-8897
✔ PECOS✔ Accepts Medicare5.0 mi
Dermatology
NPI 1518934611
3434 PRYTANIA ST SUITE 310
New Orleans, LA 70115
(504) 897-5899
✔ PECOS✔ Accepts Medicare5.5 mi
Dermatology
NPI 1740415652
6411 PERKINS RD STE 100
Baton Rouge, LA 70808
(225) 303-9500
✔ PECOS✔ Accepts Medicare66 mi
Dermatology
NPI 1528407913
19900 HAGGERTY ROAD SUITE 105
Livonia, MI 48152
(734) 936-4054
✔ PECOS✔ Accepts Medicare934 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 19D1089854

Derma, LLC · Baton Rouge, LA
Expired · Oct 28, 2026
CLIA Number19D1089854
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorChad Prather
Laboratory Phone(225) 303-9500
Laboratory LocationDerma, LLC6411 Perkins Rd, Ste 100, Baton Rouge, LA 70808
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Dermasurgery Center, LLC's NPI number?

The NPI number for Dermasurgery Center, LLC is 1053579862. It was assigned to this organization in the NPPES registry on May 28, 2008.

Where is Dermasurgery Center, LLC located?

Dermasurgery Center, LLC is located at 111 Veterans Memorial Blvd Ste 406, Metairie, LA 70005. The listed phone number is (504) 838-8225.

What is Dermasurgery Center, LLC's specialty?

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

Is Dermasurgery Center, LLC enrolled in Medicare?

Yes. Dermasurgery Center, LLC is registered in the Medicare PECOS enrollment system.

When is Dermasurgery Center, LLC'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 March 31, 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 Dermasurgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Dermasurgery Center, 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dermasurgery Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Dermasurgery Center, LLC 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 Dermasurgery Center, LLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.