SANDIA DERMATOLOGY LLC
NPI 1497403901
Dermatology in Albuquerque, NM

Active since March 14, 2022
8210 LOUSIANA BLVD NE, ALBUQUERQUE, NM 87113(505) 456-2474 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sandia Dermatology Llc NPPES

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

SANDIA DERMATOLOGY LLC (NPI 1497403901) is a healthcare organization registered as a dermatology in Albuquerque, New Mexico and active in the NPI registry since March 2022. The organization lists Deeptej Singh, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1497403901
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSANDIA DERMATOLOGY LLC
Location Address8210 LOUSIANA BLVD NEAlbuquerque, NM 87113
Mailing Address8210 Lousiana Blvd NeAlbuquerque, NM 87113 · (505) 456-2474
Organization SubpartNo
Authorized OfficialDeeptej SinghCeo/owner · (505) 456-2474
Enumeration DateMarch 14, 2022
NPPES CertifiedFebruary 28, 2022
✔ NPI 1497403901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8210 LOUSIANA BLVD NE, Albuquerque, NM 87113

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sandia Dermatology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1598911984
8210 LOUISIANA BLVD NE STE A
Albuquerque, NM 87113
(505) 588-7546
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sandia Dermatology LLC's NPI number?

The NPI number for Sandia Dermatology LLC is 1497403901. It was assigned to this organization in the NPPES registry on March 14, 2022.

Where is Sandia Dermatology LLC located?

Sandia Dermatology LLC is located at 8210 Lousiana Blvd NE, Albuquerque, NM 87113. The listed phone number is (505) 456-2474.

What is Sandia Dermatology LLC's specialty?

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

Is Sandia Dermatology LLC enrolled in Medicare?

Yes. Sandia Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandia Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Sandia Dermatology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sandia Dermatology LLC was last updated on March 14, 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.