DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC
NPI 1205880846
Dermatology in Leawood, KS
About Dermatology And Skin Cancer Specialists, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC (NPI 1205880846) is a healthcare organization registered as a dermatology in Leawood, Kansas and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through November 8, 2026 and lists Glenn D Goldstein, President, 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)
Dermatology And Skin Cancer Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
47Medicare enrollment records show 47 clinicians reassign Medicare billing to Dermatology And Skin Cancer Specialists, LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 47Leawood, KS 66211
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) 26D2016008
Dermatology & Skin Cancer Specialists · Belton, MOFrequently 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 Dermatology And Skin Cancer Specialists, LLC's NPI number?
The NPI number for Dermatology And Skin Cancer Specialists, LLC is 1205880846. It was assigned to this organization in the NPPES registry on May 19, 2006.
Where is Dermatology And Skin Cancer Specialists, LLC located?
Dermatology And Skin Cancer Specialists, LLC is located at 11550 Granada Ln, Leawood, KS 66211. The listed phone number is (913) 451-7546.
What is Dermatology And Skin Cancer Specialists, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology And Skin Cancer Specialists, LLC enrolled in Medicare?
Yes. Dermatology And Skin Cancer Specialists, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology And Skin Cancer Specialists, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 6 Medicare specialties reassign their Medicare billing to Dermatology And Skin Cancer Specialists, LLC. 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 Dermatology (28), Nurse Practitioner (12) and Plastic and Reconstructive Surgery (3). Of these, 10 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology And Skin Cancer Specialists, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D2016008) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dermatology And Skin Cancer Specialists, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Dermatology And Skin Cancer Specialists, LLC 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 Dermatology And Skin Cancer Specialists, LLC was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dermatology And Skin Cancer Specialists, Llc · NPI 1205880846
Dermatology organization in Leawood, Kansas. Organization record, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1205880846 (Entity type: Organization)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Glenn Goldstein, PRESIDENT
## Practice location
- **Address:** 11550 GRANADA LN, Leawood, KS 66211-1453
- **Phone:** (913) 451-7546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 47 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (28), Nurse Practitioner (12), Plastic and Reconstructive Surgery (3); 10 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1205880846/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205880846) · Data from the CMS NPPES public registry.