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LEO DERMATOLOGY LLC
NPI 1356683999
Dermatology in Enon, OH

Active since March 21, 2013CLIA 36D2264330 · Waiver
7185 DAYTON SPRINGFIELD RD, SUITE B, ENON, OH 45323(937) 863-0083 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leo Dermatology Llc NPPES

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

LEO DERMATOLOGY LLC (NPI 1356683999) is a healthcare organization registered as a dermatology in Enon, Ohio and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Sherry Suzanne Grooms, Owner, as its authorized official.

NPPES Registry Identity

NPI1356683999
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEO DERMATOLOGY LLC
Location Address7185 DAYTON SPRINGFIELD RD, SUITE BEnon, OH 45323-1467
Mailing Address7185 Dayton Springfield Rd, Suite BEnon, OH 45323-1467 · (937) 863-0083
Phone(937) 863-0083
Organization SubpartNo
Authorized OfficialSherry Suzanne GroomsOwner · (937) 863-0083
Enumeration DateMarch 21, 2013
✔ NPI 1356683999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OH · 263353
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.
7185 DAYTON SPRINGFIELD RD, Enon, OH 45323
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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 Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Leo Dermatology Llc 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 Leo Dermatology LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Sherry Grooms, NP
Nurse Practitioner
NPI 1528043106
3572 DAYTON XENIA RD SUITE 105
Beavercreek, OH 45432
(937) 427-4600
✔ PECOS11 mi
Sara Farling, NP
Nurse Practitioner
NPI 1780343251
400 CORPORATE CENTER DR
Vandalia, OH 45377
(937) 454-5296
✔ PECOS15 mi
Nancy Hogan, CNP
Nurse Practitioner
NPI 1831154038
9000 N MAIN ST STE 321
Englewood, OH 45415
(937) 836-0500
✔ PECOS17 mi

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 Waiver 36D2264330

Leo Dermatology · Enon, OH
Active · expires Jul 12, 2028
CLIA Number36D2264330
Laboratory TypePractitioner Other
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorSherry S. Grooms
Laboratory Phone(937) 863-0083
Laboratory LocationLeo Dermatology7185 Dayton Springfield Rd, Enon, OH 45323
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Leo Dermatology LLC's NPI number?

The NPI number for Leo Dermatology LLC is 1356683999. It was assigned to this organization in the NPPES registry on March 21, 2013.

Where is Leo Dermatology LLC located?

Leo Dermatology LLC is located at 7185 Dayton Springfield Rd Suite B, Enon, OH 45323. The listed phone number is (937) 863-0083.

What is Leo Dermatology LLC's specialty?

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

Is Leo Dermatology LLC enrolled in Medicare?

Yes. Leo Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leo Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Leo Dermatology LLC. 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 Leo Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2264330) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Leo Dermatology LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Leo Dermatology LLC 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 Leo Dermatology LLC was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.