INTEGRATED DERMATOLOGY OF E COMMONWEALTH KY PSC
NPI 1255299616
Dermatology in Corbin, KY
About Integrated Dermatology Of E Commonwealth Ky Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED DERMATOLOGY OF E COMMONWEALTH KY PSC (NPI 1255299616), doing business as Integrated Dermatology Of Kentucky, is a healthcare organization registered as a dermatology in Corbin, Kentucky and active in the NPI registry since January 2026. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Richmond, and lists Ania Miller, Director Of Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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)
Integrated Dermatology Of E Commonwealth Ky Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Integrated Dermatology Of E Commonwealth Ky Psc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 2
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 Waiver 18D2350455
Integrated Dermatology Of Kentucky · Richmond, KYCertificate of Waiver 18D2350454
Integrated Dermatology Of Kentucky · Corbin, KYFrequently 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 Integrated Dermatology Of E Commonwealth Ky Psc's NPI number?
The NPI number for Integrated Dermatology Of E Commonwealth Ky Psc is 1255299616. It was assigned to this organization in the NPPES registry on January 14, 2026. The provider is doing business as Integrated Dermatology of Kentucky.
Where is Integrated Dermatology Of E Commonwealth Ky Psc located?
Integrated Dermatology Of E Commonwealth Ky Psc is located at 1101 Master St, Corbin, KY 40701. The listed phone number is (606) 528-2881.
What is Integrated Dermatology Of E Commonwealth Ky Psc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Integrated Dermatology Of E Commonwealth Ky Psc enrolled in Medicare?
Yes. Integrated Dermatology Of E Commonwealth Ky Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Dermatology Of E Commonwealth Ky Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Integrated Dermatology Of E Commonwealth Ky Psc, in Dermatology and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Integrated Dermatology Of E Commonwealth Ky Psc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Integrated Dermatology Of E Commonwealth Ky Psc accept?
Health plans from Anthem Blue Cross and Blue Shield list Integrated Dermatology Of E Commonwealth Ky Psc 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 Integrated Dermatology Of E Commonwealth Ky Psc was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Integrated Dermatology Of E Commonwealth Ky Psc · NPI 1255299616
Dermatology organization in Corbin, Kentucky. Organization record, active in the CMS NPPES registry since January 14, 2026.
## Identity
- **NPI:** 1255299616 (Entity type: Organization)
- **Enumerated:** January 14, 2026
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Also known as:** Integrated Dermatology of Kentucky (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ania Miller, DIRECTOR OF CREDENTIALING
## Practice location
- **Address:** 1101 MASTER ST, Corbin, KY 40701-3511
- **Phone:** (606) 528-2881 · **Fax:** (606) 528-0293
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Dermatology (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255299616) · Data from the CMS NPPES public registry.