BLACK HILLS DERMATOLOGY AND LASER SURGERY CENTRE
NPI 1497727028
Dermatology in Rapid City, SD
About Black Hills Dermatology And Laser Surgery Centre NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK HILLS DERMATOLOGY AND LASER SURGERY CENTRE (NPI 1497727028) is a healthcare organization registered as a dermatology in Rapid City, South Dakota and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates and lists Jason W Gorman, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 4
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)
Black Hills Dermatology And Laser Surgery Centre is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Black Hills Dermatology And Laser Surgery Centre, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 43D0993471
Black Hills Dermatology Centre · Rapid City, SDCertificate of Compliance 43D2089513
Black Hills Dermatology PC · Spearfish, SDFrequently 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 Black Hills Dermatology PC's NPI number?
The NPI number for Black Hills Dermatology PC is 1497727028. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Black Hills Dermatology And Laser Surgery Centre.
Where is Black Hills Dermatology PC located?
Black Hills Dermatology PC is located at 7236 Jordan Drive Suite 101, Rapid City, SD 57702. The listed phone number is (605) 341-5565.
What is Black Hills Dermatology PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Black Hills Dermatology PC enrolled in Medicare?
Yes. Black Hills Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Black Hills Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Black Hills Dermatology PC. 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 Nurse Practitioner (3) and Dermatology (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Black Hills Dermatology PC 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 Black Hills Dermatology PC accept?
Health plans from Avera Health Plans and Sanford Health Plan list Black Hills Dermatology PC 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 Black Hills Dermatology PC was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Black Hills Dermatology And Laser Surgery Centre · NPI 1497727028
Dermatology organization in Rapid City, South Dakota. Organization record, active in the CMS NPPES registry since February 7, 2006.
## Identity
- **NPI:** 1497727028 (Entity type: Organization)
- **Enumerated:** February 7, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Black Hills Dermatology Pc
- **Organization subpart:** No
- **Authorized official:** Jason Gorman, ADMINISTRATOR
## Practice location
- **Address:** 7236 JORDAN DRIVE SUITE 101, Rapid City, SD 57702-8740
- **Phone:** (605) 341-5565 · **Fax:** (605) 341-5595
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Dermatology (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2008
- **Other identifiers:** Other 0040885 (SD); Medicare ID-Type Unspecified 40885 (SD); Medicare ID-Type Unspecified 9486 (WY); and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497727028) · Data from the CMS NPPES public registry.