ADVANCED INSTITUTE OF DERMATOLOGY, INC
NPI 1184919011
Dermatology in Palm Desert, CA
About Advanced Institute Of Dermatology, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED INSTITUTE OF DERMATOLOGY, INC (NPI 1184919011) is a healthcare organization registered as a dermatology in Palm Desert, California and active in the NPI registry since June 2011. The organization holds a CLIA Certificate of Compliance certificate valid through June 14, 2028 and lists Maryam Sickinger, 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)
Advanced Institute Of Dermatology, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Advanced Institute Of Dermatology, Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 of Compliance 05D2036801
Advanced Institute Of Dermatology, Inc · Palm Desert, 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 Advanced Institute Of Dermatology, Inc's NPI number?
The NPI number for Advanced Institute Of Dermatology, Inc is 1184919011. It was assigned to this organization in the NPPES registry on June 20, 2011.
Where is Advanced Institute Of Dermatology, Inc located?
Advanced Institute Of Dermatology, Inc is located at 41990 Cook St # F1006, Palm Desert, CA 92211. The listed phone number is (760) 568-9300.
What is Advanced Institute Of Dermatology, Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Advanced Institute Of Dermatology, Inc enrolled in Medicare?
Yes. Advanced Institute Of Dermatology, Inc is registered in the Medicare PECOS enrollment system.
When is Advanced Institute Of Dermatology, 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 November 30, 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 Advanced Institute Of Dermatology, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Advanced Institute Of Dermatology, 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Institute Of Dermatology, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D2036801) is associated with this NPI, valid through June 14, 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 Advanced Institute Of Dermatology, Inc was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Advanced Institute Of Dermatology, Inc · NPI 1184919011
Dermatology organization in Palm Desert, California. Organization record, active in the CMS NPPES registry since June 20, 2011.
## Identity
- **NPI:** 1184919011 (Entity type: Organization)
- **Enumerated:** June 20, 2011
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Maryam Sickinger, PRESIDENT
## Practice location
- **Address:** 41990 COOK ST # F1006, Palm Desert, CA 92211-6100
- **Phone:** (760) 568-9300 · **Fax:** (760) 568-9331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2016
- **Other identifiers:** Medicare PIN FM656 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184919011) · Data from the CMS NPPES public registry.