WESTERN DERMATOLOGY CONSULTANTS PC
NPI 1174653299
Dermatology - MOHS-Micrographic Surgery in Albuquerque, NM
About Western Dermatology Consultants Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTERN DERMATOLOGY CONSULTANTS PC (NPI 1174653299) is a healthcare organization registered as a mohs-micrographic surgery in Albuquerque, New Mexico and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through March 9, 2027 and lists Leslie Glass, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Western Dermatology Consultants Pc 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Western Dermatology Consultants PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Albuquerque, NM 87111
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) 32D0941746
Western Dermatology Consultants PC · Albuquerque, NMFrequently 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 Western Dermatology Consultants PC's NPI number?
The NPI number for Western Dermatology Consultants PC is 1174653299. It was assigned to this organization in the NPPES registry on March 7, 2007.
Where is Western Dermatology Consultants PC located?
Western Dermatology Consultants PC is located at 10151 Montgomery Blvd NE Bldg. 1 Ste. A, Albuquerque, NM 87111. The listed phone number is (505) 855-5503.
What is Western Dermatology Consultants PC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Western Dermatology Consultants PC enrolled in Medicare?
Yes. Western Dermatology Consultants PC is registered in the Medicare PECOS enrollment system.
When is Western Dermatology Consultants PC'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 (New Mexico, 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 Western Dermatology Consultants PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Western Dermatology Consultants 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Western Dermatology Consultants PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D0941746) is associated with this NPI, valid through March 9, 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 Western Dermatology Consultants PC was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Western Dermatology Consultants Pc · NPI 1174653299
MOHS-Micrographic Surgery organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1174653299 (Entity type: Organization)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Organization subpart:** No
- **Authorized official:** Leslie Glass, PRESIDENT
## Practice location
- **Address:** 10151 MONTGOMERY BLVD NE, BLDG. 1 STE. A, Albuquerque, NM 87111-3670
- **Phone:** (505) 855-5503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2008
- **Other identifiers:** Medicaid P6441 (NM)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174653299) · Data from the CMS NPPES public registry.