ELMHURST DERMATOLOGY PC
NPI 1356298251
Dermatology in Elmhurst, IL
About Elmhurst Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELMHURST DERMATOLOGY PC (NPI 1356298251), doing business as Davis Dermatology, is a healthcare organization registered as a dermatology in Elmhurst, Illinois and active in the NPI registry since March 2026. The organization holds a CLIA Certificate of Compliance certificate valid through July 23, 2028 and lists Todd Thomas Davis, President, 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)
Elmhurst Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Elmhurst Dermatology PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 14D2347826
Elmhurst Dermatology Davis Dermatology · Elmhurst, ILFrequently 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 Elmhurst Dermatology PC's NPI number?
The NPI number for Elmhurst Dermatology PC is 1356298251. It was assigned to this organization in the NPPES registry on March 11, 2026. The provider is doing business as Davis Dermatology.
Where is Elmhurst Dermatology PC located?
Elmhurst Dermatology PC is located at 103 N Haven Rd Ste 7, Elmhurst, IL 60126. The listed phone number is (780) 502-5225.
What is Elmhurst Dermatology PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Elmhurst Dermatology PC enrolled in Medicare?
Yes. Elmhurst Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elmhurst Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Elmhurst Dermatology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Elmhurst Dermatology PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 14D2347826) is associated with this NPI, valid through July 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Elmhurst Dermatology PC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.