PALO ALTO DERMATOLOGY INSTITUTE
NPI 1447080890
Dermatology in Palo Alto, CA

Active since August 01, 2024
301 HIGH ST, PALO ALTO, CA 94301(650) 546-4929(650) 546-4884 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2024, Aug 1, 2024 (2 updates tracked since 2024).

About Palo Alto Dermatology Institute NPPES

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

PALO ALTO DERMATOLOGY INSTITUTE (NPI 1447080890) is a healthcare organization registered as a dermatology in Palo Alto, California and active in the NPI registry since August 2024. The organization lists Greg Morganroth, President, as its authorized official.

NPPES Registry Identity

NPI1447080890
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePALO ALTO DERMATOLOGY INSTITUTE
Location Address301 HIGH STPalo Alto, CA 94301-1043
Mailing Address301 High StPalo Alto, CA 94301-1043
Fax(650) 546-4884
Organization SubpartNo
Authorized OfficialGreg MorganrothPresident · (650) 546-4929
Enumeration DateAugust 1, 2024
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1447080890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
301 HIGH ST, Palo Alto, CA 94301

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)

Palo Alto Dermatology Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Palo Alto Dermatology Institute, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Dermatology
NPI 1972131431
301 HIGH ST
Palo Alto, CA 94301
(650) 969-5600
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1063435741
301 HIGH ST
Palo Alto, CA 94301
(650) 969-5600
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1639217458
301 HIGH ST
Palo Alto, CA 94301
(650) 969-5600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952332231
301 HIGH ST
Palo Alto, CA 94301
(650) 969-5600
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1114182920
3 MEDICAL PLAZA DR SUITE 230
Roseville, CA 95661
(916) 797-4766
✔ PECOS✔ Accepts Medicare104 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 Compliance 05D0686334

Palo Alto Dermatology Institute · Palo Alto, CA
Expired · Sep 30, 2026
CLIA Number05D0686334
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2023
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorGreg S. Morganroth
Laboratory Phone(650) 969-5600
Laboratory LocationPalo Alto Dermatology Institute301 High St, Palo Alto, CA 94301
CLIA data matches this NPI record on: Address Name
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 Palo Alto Dermatology Institute's NPI number?

The NPI number for Palo Alto Dermatology Institute is 1447080890. It was assigned to this organization in the NPPES registry on August 1, 2024.

Where is Palo Alto Dermatology Institute located?

Palo Alto Dermatology Institute is located at 301 High St, Palo Alto, CA 94301. The listed phone number is (650) 546-4929.

What is Palo Alto Dermatology Institute's specialty?

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

Is Palo Alto Dermatology Institute enrolled in Medicare?

Yes. Palo Alto Dermatology Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palo Alto Dermatology Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Palo Alto Dermatology Institute. 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 (4) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Palo Alto Dermatology Institute was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.