WINE COUNTRY DERMATOLOGY
NPI 1144506833
Dermatology in Napa, CA
About Wine Country Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINE COUNTRY DERMATOLOGY (NPI 1144506833) is a healthcare organization registered as a dermatology in Napa, California and active in the NPI registry since October 2011. The organization holds a CLIA Microscopy certificate valid through August 5, 2028 and lists Brent Loftis, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Wine Country Dermatology 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wine Country Dermatology, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 05D2031165
Brent Loftis, Do, Inc. · Napa, CAFrequently 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 Brent Loftis, Do Inc.'s NPI number?
The NPI number for Brent Loftis, Do Inc. is 1144506833. It was assigned to this organization in the NPPES registry on October 26, 2011. The provider is doing business as Wine Country Dermatology.
Where is Brent Loftis, Do Inc. located?
Brent Loftis, Do Inc. is located at 3230 Beard Rd Ste 2, Napa, CA 94558. The listed phone number is (707) 203-2781.
What is Brent Loftis, Do Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Brent Loftis, Do Inc. enrolled in Medicare?
Yes. Brent Loftis, Do Inc. is registered in the Medicare PECOS enrollment system.
When is Brent Loftis, Do Inc.'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 (California, 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 Brent Loftis, Do Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Brent Loftis, Do Inc.. 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.
Does Brent Loftis, Do Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2031165) is associated with this NPI, valid through August 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Brent Loftis, Do Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Wine Country Dermatology · NPI 1144506833
Dermatology organization in Napa, California. Organization record, active in the CMS NPPES registry since October 26, 2011.
## Identity
- **NPI:** 1144506833 (Entity type: Organization)
- **Enumerated:** October 26, 2011
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Brent Loftis, Do Inc.
- **Organization subpart:** No
- **Authorized official:** Brent Loftis, OWNER/PHYSICIAN
## Practice location
- **Address:** 3230 BEARD RD STE 2, Napa, CA 94558-3659
- **Phone:** (707) 203-2781 · **Fax:** (707) 203-2782
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144506833) · Data from the CMS NPPES public registry.