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

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

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

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: August 02, 2026.

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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 Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAY PAUL GRAY PA-C

Physician Assistant