ANDERS DERMATOLOGY INCORPORATED
NPI 1215968896
Dermatology in Toledo, OH

Active since July 05, 2006CLIA 36D1056831 · Certificate of Compliance
4126 N HOLLAND SYLVANIA RD, SUITE 200, TOLEDO, OH 43623(419) 473-3257(419) 473-8816 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anders Dermatology Incorporated NPPES

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

ANDERS DERMATOLOGY INCORPORATED (NPI 1215968896) is a healthcare organization registered as a dermatology in Toledo, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 23, 2027 and lists John P Anders, President, as its authorized official.

NPPES Registry Identity

NPI1215968896
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANDERS DERMATOLOGY INCORPORATED
Location Address4126 N HOLLAND SYLVANIA RD, SUITE 200Toledo, OH 43623-3536
Mailing Address4126 N Holland Sylvania Rd, Suite 200Toledo, OH 43623-2504 · (419) 473-3257 · Fax (419) 473-8816
Fax(419) 473-8816
Organization SubpartNo
Authorized OfficialJohn P AndersPresident · (419) 473-3257
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 13, 2007
✔ NPI 1215968896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4126 N HOLLAND SYLVANIA RD, Toledo, OH 43623

Other Identifiers 2

OtherP00102183OH · Medicare Railroad
Medicare PIN9930481OH

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anders Dermatology Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Anders Dermatology Incorporated, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology5
Micrographic Dermatologic Surgery (MDS)2
Nurse Practitioner2
Plastic and Reconstructive Surgery1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1851707012
4126 N HOLLAND SYLVANIA RD SUITE 200
Toledo, OH 43623
(419) 473-3257
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1114962172
4126 N HOLLAND SYLVANIA RD SUITE 200
Toledo, OH 43623
(417) 473-3257
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1811932643
4126 N HOLLAND SYLVANIA RD SUITE 200
Toledo, OH 43623
(419) 473-3257
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1386688364
4126 N HOLLAND SYLVANIA RD SUITE 200
Toledo, OH 43623
(419) 473-3257
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013296599
4126 N HOLLAND SYLVANIA RD SUITE 200
Toledo, OH 43623
(419) 473-3257
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1720346133
3900 SUNFOREST CT STE 114
Toledo, OH 43623
(567) 225-3407
✔ PECOS✔ Accepts Medicare2.9 mi
Plastic and Reconstructive Surgery
NPI 1518960798
2121 HUGHES DR STE 920
Toledo, OH 43606
(419) 291-2000
✔ PECOS4.9 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1962780841
1551 W BIG BEAVER RD STE D16
Troy, MI 48084
(248) 883-7546
✔ PECOS✔ Accepts Medicare66 mi
Dermatology
NPI 1457305815
110 SOUTH BLVD W STE 100
Rochester Hills, MI 48307
(248) 852-1900
✔ PECOS✔ Accepts Medicare70 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1447756499
607 WASHINGTON RD LOWR LEVEL
Mt Lebanon, PA 15228
(412) 563-0217
✔ PECOS✔ Accepts Medicare211 mi

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 36D1056831

Anders Dermatology, Inc · Toledo, OH
Active · expires Jan 23, 2027
CLIA Number36D1056831
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorDr. Krishna A. Mutgi
Laboratory Phone(419) 473-3257
Laboratory LocationAnders Dermatology, Inc4126 N Holland-Sylvania Road, Suite 200, Toledo, OH 43623
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.

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 Anders Dermatology Incorporated's NPI number?

The NPI number for Anders Dermatology Incorporated is 1215968896. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Anders Dermatology Incorporated located?

Anders Dermatology Incorporated is located at 4126 N Holland Sylvania Rd Suite 200, Toledo, OH 43623. The listed phone number is (419) 473-3257.

What is Anders Dermatology Incorporated's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Anders Dermatology Incorporated enrolled in Medicare?

Yes. Anders Dermatology Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anders Dermatology Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Anders Dermatology Incorporated. 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 (5), Micrographic Dermatologic Surgery (MDS) (2) and Nurse Practitioner (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Anders Dermatology Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 36D1056831) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anders Dermatology Incorporated accept?

Health plans from Anthem Blue Cross and Blue Shield list Anders Dermatology Incorporated 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 Anders Dermatology Incorporated was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.