THE DERMATOLOGY HOUSE PC
NPI 1316470750
Dermatology in Park City, UT

Active since April 04, 2017
1526 UTE BLVD, STE 104, PARK CITY, UT 84098(415) 802-1310 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About The Dermatology House Pc NPPES

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

THE DERMATOLOGY HOUSE PC (NPI 1316470750) is a healthcare organization registered as a dermatology in Park City, Utah and active in the NPI registry since April 2017. The organization lists Kelly Stankiewicz, Owner, as its authorized official.

NPPES Registry Identity

NPI1316470750
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTHE DERMATOLOGY HOUSE PC
Location Address1526 UTE BLVD, STE 104Park City, UT 84098-7522
Mailing Address1526 Ute Blvd, Ste 104Park City, UT 84098-7522 · (415) 802-1310
Organization SubpartNo
Authorized OfficialKelly StankiewiczOwner · (415) 802-1310
Enumeration DateApril 4, 2017
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1316470750 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.
1526 UTE BLVD, Park City, UT 84098

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Dermatology House PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1598987307
THE DERMATOLOGY HOUSE-1922 PROSPECTOR AVE.
Park City, UT 84060
(435) 602-1918
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1508355280
321 W 1300 S STE 120
Heber City, UT 84032
(435) 200-3502
✔ PECOS17 mi
Dermatology
NPI 1114159837
4425 PONCE DE LEON BLVD SUITE 200
Coral Gables, FL 33146
(305) 443-6606
✔ PECOS✔ Accepts Medicare1,638 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 The Dermatology House PC's NPI number?

The NPI number for The Dermatology House PC is 1316470750. It was assigned to this organization in the NPPES registry on April 4, 2017.

Where is The Dermatology House PC located?

The Dermatology House PC is located at 1526 Ute Blvd Ste 104, Park City, UT 84098. The listed phone number is (415) 802-1310.

What is The Dermatology House PC's specialty?

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

Is The Dermatology House PC enrolled in Medicare?

Yes. The Dermatology House PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Dermatology House PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to The Dermatology House PC, 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Dermatology House PC accept?

Health plans from Molina Healthcare list The Dermatology House PC 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 The Dermatology House PC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.