INTEGRATIVE DERMATOLOGY PC
NPI 1154522860
Dermatology in Newton, MA
About Integrative Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATIVE DERMATOLOGY PC (NPI 1154522860) is a healthcare organization registered as a dermatology in Newton, Massachusetts and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through July 14, 2027 and lists Valori Treloar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrative 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 Integrative Dermatology PC, 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) 22D1014691
Integrative Dermatology, PC · Newton, MAFrequently 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 Integrative Dermatology PC's NPI number?
The NPI number for Integrative Dermatology PC is 1154522860. It was assigned to this organization in the NPPES registry on May 30, 2007.
Where is Integrative Dermatology PC located?
Integrative Dermatology PC is located at 1172 Beacon St Suite 402, Newton, MA 02461. The listed phone number is (617) 558-5580.
What is Integrative Dermatology PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Integrative Dermatology PC enrolled in Medicare?
Yes. Integrative Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrative Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Integrative 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.
Does Integrative Dermatology PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D1014691) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Integrative Dermatology PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Integrative Dermatology PC 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 Integrative Dermatology PC was last updated on October 23, 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.