UPTOWN DERMATOLOGY & SKIN SPA, P.A.
NPI 1205868619
Dermatology in Minneapolis, MN
About Uptown Dermatology & Skin Spa, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPTOWN DERMATOLOGY & SKIN SPA, P.A. (NPI 1205868619) is a healthcare organization registered as a dermatology in Minneapolis, Minnesota and active in the NPI registry since July 2006. The organization lists Jaime Davis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Uptown Dermatology & Skin Spa, P.a. 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 Uptown Dermatology & Skin Spa, P.A., 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 Uptown Dermatology & Skin Spa, P.A.'s NPI number?
The NPI number for Uptown Dermatology & Skin Spa, P.A. is 1205868619. It was assigned to this organization in the NPPES registry on July 7, 2006.
Where is Uptown Dermatology & Skin Spa, P.A. located?
Uptown Dermatology & Skin Spa, P.A. is located at 1221 W Lake St Suite 208, Minneapolis, MN 55408. The listed phone number is (612) 455-3200.
What is Uptown Dermatology & Skin Spa, P.A.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Uptown Dermatology & Skin Spa, P.A. enrolled in Medicare?
Yes. Uptown Dermatology & Skin Spa, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Uptown Dermatology & Skin Spa, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Uptown Dermatology & Skin Spa, P.A.. 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 Uptown Dermatology & Skin Spa, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.