SAINT PAUL DERMATOLOGY LTD
NPI 1184114803
Dermatology in Saint Paul, MN
About Saint Paul Dermatology Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAINT PAUL DERMATOLOGY LTD (NPI 1184114803) is a healthcare organization registered as a dermatology in Saint Paul, Minnesota and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Brooklyn Park and lists Anastasios Pappas, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Saint Paul Dermatology Ltd 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 Saint Paul Dermatology Ltd, 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.
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 Saint Paul Dermatology Ltd's NPI number?
The NPI number for Saint Paul Dermatology Ltd is 1184114803. It was assigned to this organization in the NPPES registry on May 17, 2018.
Where is Saint Paul Dermatology Ltd located?
Saint Paul Dermatology Ltd is located at 400 Selby Ave Ste S, Saint Paul, MN 55102. The listed phone number is (523) 734-1239.
What is Saint Paul Dermatology Ltd's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Saint Paul Dermatology Ltd enrolled in Medicare?
Yes. Saint Paul Dermatology Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Saint Paul Dermatology Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Saint Paul Dermatology Ltd. 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.
When was this NPI record last updated?
The NPPES record for Saint Paul Dermatology Ltd was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.