RESTORATION DERMATOLOGY PLC
NPI 1417698549
Dermatology - MOHS-Micrographic Surgery in Nashville, TN

Q: What is Restoration Dermatology Plc's NPI number?

The NPI number for Restoration Dermatology Plc is 1417698549. It was assigned to this organization in the NPPES registry on April 5, 2022.

Q: What is Restoration Dermatology Plc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since April 05, 2022CLIA 44D2260126 · Certificate of Compliance

3803 BEDFORD AVE STE 102, NASHVILLE, TN 37215(615) 249-4700 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 14, 2023, Apr 5, 2022 (2 updates tracked since 2022).

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About Restoration Dermatology Plc NPPES

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

RESTORATION DERMATOLOGY PLC (NPI 1417698549) is a healthcare organization registered as a mohs-micrographic surgery in Nashville, Tennessee and active in the NPI registry since April 2022. The organization holds a CLIA Certificate of Compliance certificate valid through July 23, 2027 and lists Vineet Mishra, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1417698549

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameRESTORATION DERMATOLOGY PLC

Location Address3803 BEDFORD AVE STE 102Nashville, TN 37215-2565

Mailing Address3803 Bedford Ave Ste 102Nashville, TN 37215-2565

Phone(615) 249-4700

Organization SubpartNo

Authorized OfficialVineet MishraMd/owner · (615) 305-0658

Enumeration DateApril 5, 2022

Last NPPES UpdateApril 14, 20232 updates tracked since enumeration

NPPES CertifiedApril 14, 2023

✔ NPI 1417698549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

3803 BEDFORD AVE STE 102, Nashville, TN 37215

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restoration Dermatology Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Restoration Dermatology Plc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Vineet Mishra, MD

Micrographic Dermatologic Surgery (MDS)

NPI 1639337181

3803 BEDFORD AVE STE 102
Nashville, TN 37215

(615) 813-0145

✔ PECOS✔ Accepts MedicareSame address

Niki Ramirez, FNP

Nurse Practitioner

NPI 1407587538

3803 BEDFORD AVE STE 102
Nashville, TN 37215

(615) 249-4700

✔ PECOS✔ Accepts MedicareSame address

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 44D2260126

Restoration Dermatology · Nashville, TN

Active · expires Jul 23, 2027

CLIA Number44D2260126

Laboratory TypePhysician Office

Certificate Effective DateJuly 24, 2025

Certificate Expiration DateJuly 23, 2027

Laboratory DirectorDr. Vineet Mishra

Laboratory Phone(615) 249-4700

Laboratory LocationRestoration Dermatology3803 Bedford Ave Suite 102, Nashville, TN 37215

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Restoration Dermatology Plc's NPI number?

The NPI number for Restoration Dermatology Plc is 1417698549. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Restoration Dermatology Plc located?

Restoration Dermatology Plc is located at 3803 Bedford Ave Ste 102, Nashville, TN 37215. The listed phone number is (615) 249-4700.

What is Restoration Dermatology Plc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Restoration Dermatology Plc enrolled in Medicare?

Yes. Restoration Dermatology Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restoration Dermatology Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Restoration Dermatology Plc, in Micrographic Dermatologic Surgery (MDS) 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Restoration Dermatology Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D2260126) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Restoration Dermatology Plc was last updated on April 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.