SKIN PC
NPI 1356124416
Dermatology in Louisville, CO
About Skin Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKIN PC (NPI 1356124416), doing business as Ideal Dermatology, is a healthcare organization registered as a dermatology in Louisville, Colorado and active in the NPI registry since August 2023. The organization lists Kevin John Mott, Authorized Rep, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Skin Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Skin PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 06D2099836
Skin, PC Dba Ideal Dermatology · Boulder, COFrequently 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 Skin PC's NPI number?
The NPI number for Skin PC is 1356124416. It was assigned to this organization in the NPPES registry on August 14, 2023. The provider is doing business as Ideal Dermatology.
Where is Skin PC located?
Skin PC is located at 335 W South Boulder Rd Ste 3, Louisville, CO 80027. The listed phone number is (970) 667-3116.
What is Skin PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Skin PC enrolled in Medicare?
Yes. Skin PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Skin PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Skin 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Skin PC was last updated on August 14, 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.