DERMATOLOGY DULUTH LLC
NPI 1285307975
Dermatology in Duluth, MN
About Dermatology Duluth Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY DULUTH LLC (NPI 1285307975) is a healthcare organization registered as a dermatology in Duluth, Minnesota and active in the NPI registry since July 2021. The organization holds a CLIA Certificate of Compliance certificate valid through October 16, 2028 and lists Hilary Claire Reich, Sole Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Duluth Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermatology Duluth LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Dultuh, MN 55805
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 24D2254382
Dermatology Duluth · Duluth, MNFrequently 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 Duluth LLC's NPI number?
The NPI number for Dermatology Duluth LLC is 1285307975. It was assigned to this organization in the NPPES registry on July 28, 2021.
Where is Dermatology Duluth LLC located?
Dermatology Duluth LLC is located at 4316 Rice Lake Rd Ste 101, Duluth, MN 55811. The listed phone number is (218) 740-7400.
What is Dermatology Duluth LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Duluth LLC enrolled in Medicare?
Yes. Dermatology Duluth LLC is registered in the Medicare PECOS enrollment system.
When is Dermatology Duluth LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dermatology Duluth LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology Duluth 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Duluth LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 24D2254382) is associated with this NPI, valid through October 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dermatology Duluth LLC was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Duluth Llc · NPI 1285307975
Dermatology organization in Duluth, Minnesota. Organization record, active in the CMS NPPES registry since July 28, 2021.
## Identity
- **NPI:** 1285307975 (Entity type: Organization)
- **Enumerated:** July 28, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Hilary Reich, SOLE PARTNER
## Practice location
- **Address:** 4316 RICE LAKE RD STE 101, Duluth, MN 55811-4012
- **Phone:** (218) 740-7400 · **Fax:** (218) 740-7401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285307975) · Data from the CMS NPPES public registry.