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DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC.
NPI 1366632697
Dermatology in Lees Summit, MO

Active since August 01, 2007
3265 NE RALPH POWELL RD, LEES SUMMIT, MO 64064(816) 524-4747 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dermatology And Skin Cancer Specialists, Llc. NPPES

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

DERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC. (NPI 1366632697), doing business as Dermatology And Skin Cancer Center - Lee's Summit, is a healthcare organization registered as a dermatology in Lees Summit, Missouri and active in the NPI registry since August 2007. The organization lists Glenn Goldstein, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366632697
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY AND SKIN CANCER SPECIALISTS, LLC.
Location Address3265 NE RALPH POWELL RDLees Summit, MO 64064-2301
Mailing Address3265 Ne Ralph Powell RdLees Summit, MO 64064-2301 · (816) 524-4747
Phone(816) 524-4747
Organization SubpartNo
Authorized OfficialGlenn GoldsteinMedical Director · (913) 451-7546
Enumeration DateAugust 1, 2007
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1366632697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MO · R8C67
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.
3265 NE RALPH POWELL RD, Lees Summit, MO 64064
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Other Names 1

Doing Business AsDermatology And Skin Cancer Center - Lee's Summit

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 Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, 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)

Dermatology And Skin Cancer Specialists, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Dermatology And Skin Cancer Specialists, LLC., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Dermatology24
Nurse Practitioner9
Plastic and Reconstructive Surgery3
Micrographic Dermatologic Surgery (MDS)2
Orthopedic Surgery1
Otolaryngology1

Nearest to this location (20)

See all 40
Nicholas Golda, M.D.
Dermatology
NPI 1053421081
3265 NE RALPH POWELL RD
Lees Summit, MO 64064
(913) 907-2496
✔ PECOS✔ Accepts MedicareSame address
Julie Green, MD
Dermatology
NPI 1184935256
3265 NE RALPH POWELL RD
Lees Summit, MO 64064
(913) 451-7546
✔ PECOS✔ Accepts MedicareSame address
Theresa Mattingly, M.D.
Dermatology
NPI 1265849053
3265 NE RALPH POWELL RD
Lees Summit, MO 64064
(816) 524-4747
✔ PECOS✔ Accepts MedicareSame address
Jordan Montoya, MD
Dermatology
NPI 1073199972
3265 NE RALPH POWELL RD
Lees Summit, MO 64064
(816) 454-3424
✔ PECOS✔ Accepts MedicareSame address
Tamera Wolf, FNP
Nurse Practitioner
NPI 1356342232
3265 NE RALPH POWELL RD
Lees Summit, MO 64064
(816) 524-4747
✔ PECOS✔ Accepts MedicareSame address
Araya Zaesim, MD
Dermatology
NPI 1588142517
3265 NE RALPH POWELL RD
Lees Summit, MO 64064
(816) 454-3424
✔ PECOS✔ Accepts MedicareSame address
Sheldon Sebastian, MD
Dermatology
NPI 1679612683
3265 NE RALPH POWELL RD
Lees Summit, MO 64064
(816) 524-4747
✔ PECOS✔ Accepts MedicareSame address
David Fieleke, MD
Dermatology
NPI 1679760417
1728 NE NINE OAKS DR
Lees Summit, MO 64086
(573) 356-7265
✔ PECOS✔ Accepts Medicare3.4 mi
Ross Reule, MD
Dermatology
NPI 1811125529
601 NW OBRIEN RD
Lees Summit, MO 64063
(816) 287-1528
✔ PECOS✔ Accepts Medicare4.2 mi
Laura Badami, NP-C
Nurse Practitioner
NPI 1386205961
19101 E VALLEY VIEW PKWY STE A
Independence, MO 64055
(816) 795-3353
✔ PECOS✔ Accepts Medicare4.6 mi
Mark Fleischman, MD
Dermatology
NPI 1215975867
11550 GRANADA LN
Leawood, KS 66211
(913) 451-7546
✔ PECOS✔ Accepts Medicare15 mi
Glenn Goldstein, MD
Dermatology
NPI 1164460994
11550 GRANADA LN
Leawood, KS 66211
(913) 451-7546
✔ PECOS15 mi
Karen Neubauer, DO
Dermatology
NPI 1255377958
11550 GRANADA LN
Leawood, KS 66211
(913) 451-7546
✔ PECOS✔ Accepts Medicare15 mi
Shawn Sabin, M.D.
Dermatology
NPI 1427002575
11550 GRANADA LN
Leawood, KS 66211
(913) 451-7546
✔ PECOS✔ Accepts Medicare15 mi
Daniel Bortnick, MD
Plastic and Reconstructive Surgery
NPI 1326090259
11550 GRANADA ST
Leawood, KS 66211
(913) 754-4939
✔ PECOS✔ Accepts Medicare16 mi
James Griffith, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1669815452
11550 GRANADA ST STE 200
Leawood, KS 66211
(913) 374-6711
✔ PECOS✔ Accepts Medicare16 mi
Colin Ruff, MD
Dermatology
NPI 1174722292
11550 GRANADA ST
Leawood, KS 66211
(913) 451-7546
✔ PECOS✔ Accepts Medicare16 mi
Amanda Caldwell, APRN
Nurse Practitioner
NPI 1871954552
11301 NALL AVE STE 205
Leawood, KS 66211
✔ PECOS✔ Accepts Medicare16 mi
Jeffrey Colyer, M. D.
Orthopedic Surgery
NPI 1639278666
4940B W. 137TH ST
Leawood, KS 66224
(913) 232-9846
✔ PECOS✔ Accepts Medicare17 mi
Mychi Le, MD
Plastic and Reconstructive Surgery
NPI 1952539660
6815 FRONTAGE RD STE A
Overland Park, KS 66204
(913) 721-3387
✔ PECOS✔ Accepts Medicare18 mi
See all 40 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dermatology And Skin Cancer Specialists, LLC.'s NPI number?

The NPI number for Dermatology And Skin Cancer Specialists, LLC. is 1366632697. It was assigned to this organization in the NPPES registry on August 1, 2007. The provider is doing business as Dermatology and Skin Cancer Center - Lee's Summit.

Where is Dermatology And Skin Cancer Specialists, LLC. located?

Dermatology And Skin Cancer Specialists, LLC. is located at 3265 NE Ralph Powell Rd, Lees Summit, MO 64064. The listed phone number is (816) 524-4747.

What is Dermatology And Skin Cancer Specialists, LLC.'s specialty?

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

Is Dermatology And Skin Cancer Specialists, LLC. enrolled in Medicare?

Yes. Dermatology And Skin Cancer Specialists, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology And Skin Cancer Specialists, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 6 Medicare specialties reassign their Medicare billing to Dermatology And Skin Cancer Specialists, 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. The largest specialties are Dermatology (24), Nurse Practitioner (9) and Plastic and Reconstructive Surgery (3). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dermatology And Skin Cancer Specialists, LLC. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Dermatology And Skin Cancer Specialists, 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 Dermatology And Skin Cancer Specialists, LLC. was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.