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SKIN SOLUTIONS LLC
NPI 1215007455
Dermatology - Procedural Dermatology in Madison, IN

Active since November 08, 2006CLIA 15D0952312 · Certificate of Compliance
122 DEMAREE DR, MADISON, IN 47250(812) 265-9191(812) 265-1050 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skin Solutions Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKIN SOLUTIONS LLC (NPI 1215007455) is a healthcare organization registered as a procedural dermatology in Madison, Indiana and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 8, 2027 and lists Eduardo Gabriel Rivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1215007455
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameMADISON DERMATOLOGY LLC
Location Address122 DEMAREE DRMadison, IN 47250-4622
Mailing Address122 Demaree DrMadison, IN 47250-4622 · (812) 265-9191 · Fax (812) 265-1050
Phone(812) 265-9191
Fax(812) 265-1050
Organization SubpartNo
Authorized OfficialEduardo Gabriel RiveraOwner · (812) 265-9191
Enumeration DateNovember 8, 2006
Last NPPES UpdateMarch 27, 2013
✔ NPI 1215007455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
122 DEMAREE DR, Madison, IN 47250
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Other Names 1

Other NameSkin Solutions Llc

Other Identifiers 3

Other15D1048313IN · Clia For Columbus Locatio
Other15D0952312IN · Clia For Madison Location
Medicare ID-Type Unspecified185140IN · Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 15D0952312

Madison Dermatology, LLC · Madison, IN
Active · expires Feb 8, 2027
CLIA Number15D0952312
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorEduardo G. Rivera
Laboratory Phone(812) 265-9191
Laboratory LocationMadison Dermatology, LLC122 Demaree Drive, Madison, IN 47250
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KARMA A KRISTUFEK PA-C
Physician Assistant (Medical)
122 DEMAREE DR
MADISON, IN 47250
Jefferson County (812) 265-9191
DEBORAH ROESE PA
Physician Assistant
122 DEMAREE DR
MADISON, IN 47250
Jefferson County (812) 265-9191
EDUARDO G RIVERA M.D.
Dermatology (MOHS-Micrographic Surgery)
122 DEMAREE DR
MADISON, IN 47250
Jefferson County (812) 265-9191

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 Madison Dermatology LLC's NPI number?

The NPI number for Madison Dermatology LLC is 1215007455. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is also known as Skin Solutions LLC.

Where is Madison Dermatology LLC located?

Madison Dermatology LLC is located at 122 Demaree Dr, Madison, IN 47250. The listed phone number is (812) 265-9191.

What is Madison Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Madison Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D0952312) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Madison Dermatology LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Madison Dermatology 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 Madison Dermatology LLC was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.