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MY DERMATOLOGIST, PA
NPI 1073937793
Dermatology in Inver Grove Heights, MN

Active since February 17, 2014CLIA 24D2075059 · Certificate of Compliance
5565 BLAINE AVE, SUITE 200, INVER GROVE HEIGHTS, MN 55076(651) 621-8888(651) 621-8805 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About My Dermatologist, Pa NPPES

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

MY DERMATOLOGIST, PA (NPI 1073937793) is a healthcare organization registered as a dermatology in Inver Grove Heights, Minnesota and active in the NPI registry since February 2014. The organization holds a CLIA Certificate of Compliance certificate valid through April 29, 2027 and lists Malinee Saxena, Physician, as its authorized official.

NPPES Registry Identity

NPI1073937793
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMY DERMATOLOGIST, PA
Location Address5565 BLAINE AVE, SUITE 200Inver Grove Heights, MN 55076-1238
Mailing Address5565 Blaine Ave, Suite 200Inver Grove Heights, MN 55076-1238 · (651) 621-8888 · Fax (651) 621-8805
Phone(651) 621-8888
Fax(651) 621-8805
Organization SubpartNo
Authorized OfficialMalinee SaxenaPhysician · (651) 621-8888
Enumeration DateFebruary 17, 2014
Last NPPES UpdateAugust 27, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1073937793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MN · 43566
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.
5565 BLAINE AVE, Inver Grove Heights, MN 55076
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Dermatologist, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to My Dermatologist, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jane Moore, M.D.
Dermatology
NPI 1609985969
5565 BLAINE AVE SUITE 200
Inver Grove Heights, MN 55076
(651) 621-8888
✔ PECOS✔ Accepts MedicareSame address
Malinee Saxena, MD
Dermatology
NPI 1811006182
5565 BLAINE AVE SUITE 200
Inver Grove Heights, MN 55076
(651) 621-8888
✔ PECOS✔ Accepts MedicareSame address
Christopher Dolan, M.D.
Dermatology
NPI 1497717532
8901 WISCONSIN AVE.
Bethesda, MD 20889
(301) 295-4551
✔ PECOS✔ Accepts Medicare915 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 24D2075059

My Dermatologist · Inver Grove Heights, MN
Active · expires Apr 29, 2027
CLIA Number24D2075059
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorMalinee Saxena
Laboratory Phone(651) 621-8888
Laboratory LocationMy Dermatologist5565 Blaine Avenue #200, Inver Grove Heights, MN 55076
CLIA data matches this NPI record on: Address 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 My Dermatologist, PA's NPI number?

The NPI number for My Dermatologist, PA is 1073937793. It was assigned to this organization in the NPPES registry on February 17, 2014.

Where is My Dermatologist, PA located?

My Dermatologist, PA is located at 5565 Blaine Ave Suite 200, Inver Grove Heights, MN 55076. The listed phone number is (651) 621-8888.

What is My Dermatologist, PA's specialty?

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

Is My Dermatologist, PA enrolled in Medicare?

Yes. My Dermatologist, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Dermatologist, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to My Dermatologist, PA. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does My Dermatologist, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D2075059) is associated with this NPI, valid through April 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for My Dermatologist, PA was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.