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RICKS ADVANCED DERMATOLOGY & SKIN SURGERY, PA
NPI 1346612751
Dermatology in Topeka, KS

Active since October 25, 2015CLIA Certified · 2 labs
5120 SW 28TH ST, TOPEKA, KS 66614(785) 408-5800 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ricks Advanced Dermatology & Skin Surgery, Pa NPPES

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

RICKS ADVANCED DERMATOLOGY & SKIN SURGERY, PA (NPI 1346612751) is a healthcare organization registered as a dermatology in Topeka, Kansas and active in the NPI registry since October 2015. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Lawrence, and lists Carol Gitto, Administrator, as its authorized official.

NPPES Registry Identity

NPI1346612751
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRICKS ADVANCED DERMATOLOGY & SKIN SURGERY, PA
Location Address5120 SW 28TH STTopeka, KS 66614-2321
Mailing Address5120 Sw 28th StTopeka, KS 66614-2321 · (785) 408-5800
Phone(785) 408-5800
Organization SubpartNo
Authorized OfficialCarol GittoAdministrator · (785) 408-5800
Enumeration DateOctober 25, 2015
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1346612751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in KS · 04-23188
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.
5120 SW 28TH ST, Topeka, KS 66614
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Secondary Practice Location 1

Location 14910 Corporate Centre Dr Ste 150Lawrence, KS 66047-1002 · Phone (785) 730-8770 · Fax (785) 730-8700

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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)

Ricks Advanced Dermatology & Skin Surgery, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Ricks Advanced Dermatology & Skin Surgery, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Caedran Peete, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1811413842
5120 SW 28TH ST
Topeka, KS 66614
(785) 408-5800
✔ PECOS✔ Accepts MedicareSame address
Heidi Prockish, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1376308486
5120 SW 28TH ST
Topeka, KS 66614
(785) 408-5800
✔ PECOS✔ Accepts MedicareSame address
Angela Treanor, APRN
Nurse Practitioner
NPI 1992350888
5120 SW 28TH ST
Topeka, KS 66614
(785) 408-5800
✔ PECOS✔ Accepts MedicareSame address
Matthew Ricks, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1669403861
5120 SW 28TH ST
Topeka, KS 66614
(785) 408-5800
✔ PECOS✔ Accepts MedicareSame address

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 Compliance 17D2105533

Ricks Advanced Dermatology & Skin Surgery PA · Topeka, KS
Active · expires Feb 26, 2027
CLIA Number17D2105533
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorMatthew R. Ricks
Laboratory Phone(785) 408-5800
Laboratory LocationRicks Advanced Dermatology & Skin Surgery PA5120 SW 28th Street, Topeka, KS 66614
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 17D2313657

Ricks Advanced Dermatology & Skin Surgery, PA · Lawrence, KS
Active · expires Nov 4, 2026
CLIA Number17D2313657
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorMatthew R. Ricks
Laboratory Phone(785) 730-8770
Laboratory LocationRicks Advanced Dermatology & Skin Surgery, PA4910 Corporate Centre Drive, Suite 150, Lawrence, KS 66047
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Ricks Advanced Dermatology & Skin Surgery, PA's NPI number?

The NPI number for Ricks Advanced Dermatology & Skin Surgery, PA is 1346612751. It was assigned to this organization in the NPPES registry on October 25, 2015.

Where is Ricks Advanced Dermatology & Skin Surgery, PA located?

Ricks Advanced Dermatology & Skin Surgery, PA is located at 5120 SW 28th St, Topeka, KS 66614. The listed phone number is (785) 408-5800.

What is Ricks Advanced Dermatology & Skin Surgery, PA's specialty?

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

Is Ricks Advanced Dermatology & Skin Surgery, PA enrolled in Medicare?

Yes. Ricks Advanced Dermatology & Skin Surgery, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ricks Advanced Dermatology & Skin Surgery, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Ricks Advanced Dermatology & Skin Surgery, PA. 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 Nurse Practitioner (3) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ricks Advanced Dermatology & Skin Surgery, PA 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 Ricks Advanced Dermatology & Skin Surgery, PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Ricks Advanced Dermatology & Skin Surgery, PA 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 Ricks Advanced Dermatology & Skin Surgery, PA was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.