DERMATOLOGY SPECIALISTS OF OMAHA LLC
NPI 1457551889
Dermatology in Omaha, NE
About Dermatology Specialists Of Omaha Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY SPECIALISTS OF OMAHA LLC (NPI 1457551889), doing business as Dermatology Surgery Center Group, Llc, is a healthcare organization registered as a dermatology in Omaha, Nebraska and active in the NPI registry since July 2007. The organization holds 2 active CLIA laboratory certificates and lists Damita K Gilford, Director Of Business Office Service, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 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)
Dermatology Specialists Of Omaha Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Dermatology Specialists Of Omaha LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 2
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 16D2247600
Dermatology Specialists Of Omaha A Forefront Dermatology Practice · Council Bluffs, IACertificate of Waiver 28D2317849
Dermatology Specialists Of Omaha Research · Omaha, NEFrequently 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 Specialists Of Omaha LLC's NPI number?
The NPI number for Dermatology Specialists Of Omaha LLC is 1457551889. It was assigned to this organization in the NPPES registry on July 24, 2007. The provider was formerly known as Dermatology Surgery Center Group, LLC.
Where is Dermatology Specialists Of Omaha LLC located?
Dermatology Specialists Of Omaha LLC is located at 909 N 96th St Ste 201, Omaha, NE 68114. The listed phone number is (402) 330-4555.
What is Dermatology Specialists Of Omaha LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Specialists Of Omaha LLC enrolled in Medicare?
Yes. Dermatology Specialists Of Omaha LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Specialists Of Omaha LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology Specialists Of Omaha 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. Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Specialists Of Omaha LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Dermatology Specialists Of Omaha LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Dermatology Specialists Of Omaha 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 Specialists Of Omaha LLC was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dermatology Specialists Of Omaha Llc · NPI 1457551889
Dermatology organization in Omaha, Nebraska. Organization record, active in the CMS NPPES registry since July 24, 2007.
## Identity
- **NPI:** 1457551889 (Entity type: Organization)
- **Enumerated:** July 24, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Damita Gilford, DIRECTOR OF BUSINESS OFFICE SERVICE
## Practice location
- **Address:** 909 N 96TH ST STE 201, Omaha, NE 68114-2508
- **Phone:** (402) 330-4555 · **Fax:** (402) 330-4626
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2022
- **Other identifiers:** Other 099992 (NE); Medicaid 10025555000 (NE)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457551889) · Data from the CMS NPPES public registry.