1. Home
  2. Directory
  3. California
  4. Lakeport
  5. Dermatology
  6. NPI Profile

INTEGRATED DERMATOLOGY OF LAKEPORT, PC
NPI 1295276962
Dermatology in Lakeport, CA

Active since March 15, 2017
5144 HILL RD E, LAKEPORT, CA 95453(707) 263-8955(707) 263-8340 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2019, Mar 15, 2017 (2 updates tracked since 2017).

About Integrated Dermatology Of Lakeport, Pc NPPES

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

INTEGRATED DERMATOLOGY OF LAKEPORT, PC (NPI 1295276962) is a healthcare organization registered as a dermatology in Lakeport, California and active in the NPI registry since March 2017. The organization lists Adam S. Plotkin, Authorized Group Official, as its authorized official.

NPPES Registry Identity

NPI1295276962
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF LAKEPORT, PC
Location Address5144 HILL RD ELakeport, CA 95453-6300
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000 · Fax (561) 431-2821
Phone(707) 263-8955
Fax(707) 263-8340
Organization SubpartNo
Authorized OfficialAdam S. PlotkinAuthorized Group Official · (561) 314-2000
Enumeration DateMarch 15, 2017
Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration
✔ NPI 1295276962 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.
5144 HILL RD E, Lakeport, CA 95453
Open in Google Maps ↗

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

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 Lakeport, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Dermatology Of Lakeport, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Megan Furniss, D.O.
Dermatology
NPI 1528359577
5144 HILL RD E
Lakeport, CA 95453
(707) 263-8955
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Collins, D.O.
Dermatology
NPI 1174942403
6574 OAKMONT DR STE B
Santa Rosa, CA 95409
(707) 579-4239
✔ PECOS✔ Accepts Medicare49 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Integrated Dermatology Of Lakeport, PC's NPI number?

The NPI number for Integrated Dermatology Of Lakeport, PC is 1295276962. It was assigned to this organization in the NPPES registry on March 15, 2017.

Where is Integrated Dermatology Of Lakeport, PC located?

Integrated Dermatology Of Lakeport, PC is located at 5144 Hill Rd E, Lakeport, CA 95453. The listed phone number is (707) 263-8955.

What is Integrated Dermatology Of Lakeport, PC's specialty?

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

Is Integrated Dermatology Of Lakeport, PC enrolled in Medicare?

Yes. Integrated Dermatology Of Lakeport, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Dermatology Of Lakeport, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Integrated Dermatology Of Lakeport, PC. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrated Dermatology Of Lakeport, PC was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.