INTEGRA DERMATOLOGY PA
NPI 1366820136
Dermatology in Edina, MN
About Integra Dermatology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRA DERMATOLOGY PA (NPI 1366820136) is a healthcare organization registered as a dermatology in Edina, Minnesota and active in the NPI registry since May 2015. The organization holds a CLIA Certificate of Compliance certificate valid through July 25, 2028, maintains a secondary practice location in Savage, and lists Mimi Lam, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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)
Integra Dermatology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Integra Dermatology PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 24D2104679
Integra Dermatology, PA · Savage, MNFrequently 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 Integra Dermatology PA's NPI number?
The NPI number for Integra Dermatology PA is 1366820136. It was assigned to this organization in the NPPES registry on May 13, 2015.
Where is Integra Dermatology PA located?
Integra Dermatology PA is located at 7373 France Ave S Ste 510, Edina, MN 55435. The listed phone number is (612) 767-6000.
What is Integra Dermatology PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Integra Dermatology PA enrolled in Medicare?
Yes. Integra Dermatology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integra Dermatology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Integra Dermatology PA, in Dermatology, General Surgery and Nurse Practitioner. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Integra Dermatology PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 24D2104679) is associated with this NPI, valid through July 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Integra Dermatology PA accept?
Health plans from HealthPartners list Integra Dermatology PA 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 Integra Dermatology PA was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.
# Integra Dermatology Pa · NPI 1366820136
Dermatology organization in Edina, Minnesota. Organization record, active in the CMS NPPES registry since May 13, 2015.
## Identity
- **NPI:** 1366820136 (Entity type: Organization)
- **Enumerated:** May 13, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Mimi Lam, OWNER
## Practice location
- **Address:** 7373 FRANCE AVE S STE 510, Edina, MN 55435-4551
- **Phone:** (612) 767-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), General Surgery (1), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
- **Other identifiers:** Other 1944 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366820136) · Data from the CMS NPPES public registry.