DERMATOLOGY & SKIN SURGERY CENTER
NPI 1083649628
Specialist in Battle Creek, MI

Active since July 12, 2006CLIA 23D0935915 · Accreditation
7070 E DR N, BATTLE CREEK, MI 49014(269) 660-1670(269) 660-0666 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology & Skin Surgery Center NPPES

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

DERMATOLOGY & SKIN SURGERY CENTER (NPI 1083649628) is a healthcare organization registered as a specialist in Battle Creek, Michigan and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through March 11, 2028 and lists Donn A Latour, President, as its authorized official.

NPPES Registry Identity

NPI1083649628
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY & SKIN SURGERY CENTER
Location Address7070 E DR NBattle Creek, MI 49014-8562
Mailing Address7070 E Dr NBattle Creek, MI 49014-8562 · (269) 660-1670 · Fax (269) 660-0666
Fax(269) 660-0666
Organization SubpartNo
Authorized OfficialDonn A LatourPresident · (269) 660-1670
Enumeration DateJuly 12, 2006
Last NPPES UpdateApril 27, 2015
✔ NPI 1083649628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7070 E DR N, Battle Creek, MI 49014

Other Identifiers 2

Other070A310490MI · Bcbsm Group #
Medicare PIN0M97310MI

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

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 & Skin Surgery Center 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
StateMichiganEnrollment IDO20040416001331Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Dermatology & Skin Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner9
Dermatology4
Plastic and Reconstructive Surgery2
Family Practice1
Micrographic Dermatologic Surgery (MDS)1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1932520244
7070 E DR N
Battle Creek, MI 49014
(269) 660-1670
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538243928
7070 E DR N
Battle Creek, MI 49014
(269) 660-1670
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1427139674
7070 E DR N
Battle Creek, MI 49014
(269) 660-1670
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1538880430
7070 E DR N
Battle Creek, MI 49014
(269) 660-1670
✔ PECOS✔ Accepts Medicare8.7 mi
Plastic and Reconstructive Surgery
NPI 1821210857
7070 E DR N
Battle Creek, MI 49014
(269) 660-1670
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1639921653
7070 E DR N
Battle Creek, MI 49014
(269) 660-1670
✔ PECOS8.7 mi
Plastic and Reconstructive Surgery
NPI 1629075668
7971 MOORSBRIDGE RD
Portage, MI 49024
(269) 329-2900
✔ PECOS✔ Accepts Medicare25 mi
Dermatology
NPI 1043325632
3333 SPRING ARBOR RD SUITE 400
Jackson, MI 49203
(517) 783-6435
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1801772942
2121 SPRING ARBOR RD
Jackson, MI 49203
(517) 787-5350
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1104545292
701 PLEASANT ST
Grand Ledge, MI 48837
(254) 258-2584
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1619553948
150 GROWTH PKWY
Angola, IN 46703
(269) 660-1670
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1104699685
111 N NAPPANEE ST
Elkhart, IN 46514
(574) 522-0265
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1689158834
111 N NAPPANEE ST
Elkhart, IN 46514
(574) 522-0265
✔ PECOS✔ Accepts Medicare60 mi
Dermatology
NPI 1366408080
111 N NAPPANEE ST
Elkhart, IN 46514
(574) 522-0265
✔ PECOS✔ Accepts Medicare60 mi
Dermatology
NPI 1033220637
300 E MAIDEN LN
Saint Joseph, MI 49085
(269) 429-7546
✔ PECOS68 mi
Nurse Practitioner
NPI 1750630786
2855 MILLER DR STE 121B
Plymouth, IN 46563
(574) 522-0265
✔ PECOS89 mi
Dermatology
NPI 1093001299
2981 HEALTH PKWY
Mt Pleasant, MI 48858
(855) 472-3300
✔ PECOS✔ Accepts Medicare93 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 Accreditation 23D0935915

Dermatology & Skin Surgery Center · Battle Creek, MI
Active · expires Mar 11, 2028
CLIA Number23D0935915
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorDonn A. Latour
Laboratory Phone(269) 660-1670
Laboratory LocationDermatology & Skin Surgery Center7070 E Drive N, Battle Creek, MI 49014
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 & Skin Surgery Center's NPI number?

The NPI number for Dermatology & Skin Surgery Center is 1083649628. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Dermatology & Skin Surgery Center located?

Dermatology & Skin Surgery Center is located at 7070 E Dr N, Battle Creek, MI 49014. The listed phone number is (269) 660-1670.

What is Dermatology & Skin Surgery Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dermatology & Skin Surgery Center enrolled in Medicare?

Yes. Dermatology & Skin Surgery Center is registered in the Medicare PECOS enrollment system.

When is Dermatology & Skin Surgery Center'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 (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 & Skin Surgery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Dermatology & Skin Surgery Center. 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 Nurse Practitioner (9), Dermatology (4) and Plastic and Reconstructive Surgery (2). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology & Skin Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0935915) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology & Skin Surgery Center accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 1 other insurer list Dermatology & Skin Surgery Center 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 & Skin Surgery Center was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.