MIDWEST DERMATOLOGY, LASER & VEIN CLINIC
NPI 1174652325
Dermatology - Dermatopathology in Troy, OH
About Midwest Dermatology, Laser & Vein Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWEST DERMATOLOGY, LASER & VEIN CLINIC (NPI 1174652325) is a healthcare organization registered as a dermatopathology in Troy, Ohio and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through June 20, 2027 and lists Angie Gleason, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Midwest Dermatology, Laser & Vein Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Midwest Dermatology, Laser & Vein Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Independence, OH 44131
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) 36D1070095
Midwest Dermatology, Laser And Vein Clinic · Springboro, OHFrequently 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 Midwest Dermatology, Laser & Vein Clinic's NPI number?
The NPI number for Midwest Dermatology, Laser & Vein Clinic is 1174652325. It was assigned to this organization in the NPPES registry on March 5, 2007.
Where is Midwest Dermatology, Laser & Vein Clinic located?
Midwest Dermatology, Laser & Vein Clinic is located at 3006 N Co Road 25-A, Troy, OH 45373. The listed phone number is (937) 335-2075.
What is Midwest Dermatology, Laser & Vein Clinic's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.
Is Midwest Dermatology, Laser & Vein Clinic enrolled in Medicare?
Yes. Midwest Dermatology, Laser & Vein Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midwest Dermatology, Laser & Vein Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Midwest Dermatology, Laser & Vein Clinic. 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 (5), Dermatology (1) and Pulmonary Disease (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Midwest Dermatology, Laser & Vein Clinic hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D1070095) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Midwest Dermatology, Laser & Vein Clinic accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Midwest Dermatology, Laser & Vein Clinic 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 Midwest Dermatology, Laser & Vein Clinic was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Midwest Dermatology, Laser & Vein Clinic · NPI 1174652325
Dermatopathology organization in Troy, Ohio. Organization record, active in the CMS NPPES registry since March 5, 2007.
## Identity
- **NPI:** 1174652325 (Entity type: Organization)
- **Enumerated:** March 5, 2007
- **Primary specialty:** Dermatology - Dermatopathology · taxonomy 207ND0900X
- **Organization subpart:** No
- **Authorized official:** Angie Gleason, BILLING MANAGER
## Practice location
- **Address:** 3006 N CO ROAD 25-A, Troy, OH 45373-1373
- **Phone:** (937) 335-2075 · **Fax:** (937) 339-0612
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Dermatology (1), Pulmonary Disease (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174652325) · Data from the CMS NPPES public registry.