INTEGRATED DERMATOLOGY OF CLINTON, LLC
NPI 1457728883
Dermatology in Madison, CT
About Integrated Dermatology Of Clinton, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED DERMATOLOGY OF CLINTON, LLC (NPI 1457728883), doing business as Dermatology Of Clinton Llp, is a healthcare organization registered as a dermatology in Madison, Connecticut and active in the NPI registry since September 2015. The organization holds 2 active CLIA laboratory certificates and lists Adam S Plotkin, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Integrated Dermatology Of Clinton, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Integrated Dermatology Of Clinton, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 Compliance 07D0679208
Integrated Dermatology Of Clinton · Madison, CTCertificate for Provider-Performed Microscopy Procedures (PPMP) 07D2161989
Integrated Dermatology Of Enfield · Enfield, CTFrequently 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 Integrated Dermatology Of Clinton, LLC's NPI number?
The NPI number for Integrated Dermatology Of Clinton, LLC is 1457728883. It was assigned to this organization in the NPPES registry on September 2, 2015. The provider is doing business as Dermatology of Clinton LLP.
Where is Integrated Dermatology Of Clinton, LLC located?
Integrated Dermatology Of Clinton, LLC is located at 1343 Boston Post Rd Apt 101, Madison, CT 06443. The listed phone number is (860) 669-6156.
What is Integrated Dermatology Of Clinton, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Integrated Dermatology Of Clinton, LLC enrolled in Medicare?
Yes. Integrated Dermatology Of Clinton, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Dermatology Of Clinton, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrated Dermatology Of Clinton, 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 (6) and Nurse Practitioner (4). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Integrated Dermatology Of Clinton, 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 Integrated Dermatology Of Clinton, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Integrated Dermatology Of Clinton, 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 Integrated Dermatology Of Clinton, LLC was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Integrated Dermatology Of Clinton, Llc · NPI 1457728883
Dermatology organization in Madison, Connecticut. Organization record, active in the CMS NPPES registry since September 2, 2015.
## Identity
- **NPI:** 1457728883 (Entity type: Organization)
- **Enumerated:** September 2, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Also known as:** Dermatology of Clinton LLP (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Adam Plotkin, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 1343 BOSTON POST RD APT 101, Madison, CT 06443-3481
- **Phone:** (860) 669-6156 · **Fax:** (860) 664-0285
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Nurse Practitioner (4); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457728883) · Data from the CMS NPPES public registry.