1. Home
  2. Directory
  3. Colorado
  4. Lakewood
  5. Dermatology
  6. NPI Profile

CENTER FOR ADVANCED DERMATOLOGY LLC
NPI 1497765762
Dermatology in Lakewood, CO

Active since August 09, 2006CLIA 06D0514547 · Certificate of Compliance
3455 S YARROW ST, LAKEWOOD, CO 80227(303) 989-5231(303) 989-9785 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Center For Advanced Dermatology Llc NPPES

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

CENTER FOR ADVANCED DERMATOLOGY LLC (NPI 1497765762) is a healthcare organization registered as a dermatology in Lakewood, Colorado and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 20, 2028 and lists Michaela W Mcdonnell, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1497765762
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTER FOR ADVANCED DERMATOLOGY LLC
Location Address3455 S YARROW STLakewood, CO 80227
Mailing Address3455 S Yarrow StLakewood, CO 80227 · (303) 989-5231 · Fax (303) 989-9785
Phone(303) 989-5231
Fax(303) 989-9785
Organization SubpartNo
Authorized OfficialMichaela W McdonnellManaging Partner · (303) 989-5231
Enumeration DateAugust 9, 2006
Last NPPES UpdateMay 15, 2008
✔ NPI 1497765762 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.
3455 S YARROW ST, Lakewood, CO 80227
Open in Google Maps ↗

Other Identifiers 1

Medicare PINC368308CO

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20040709000463Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Center For Advanced Dermatology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology12
Nurse Practitioner2
Micrographic Dermatologic Surgery (MDS)1
Pathology1

Clinicians, nearest first (16)

David Hurt, MD
Dermatology
NPI 1134237928
3455 S YARROW ST
Lakewood, CO 80227
(303) 989-5231
✔ PECOS✔ Accepts MedicareSame address
Lisa Blackwood, M.D., M.S.
Dermatology
NPI 1760749683
3455 S YARROW ST
Lakewood, CO 80227
(303) 989-5231
✔ PECOS✔ Accepts Medicare0.1 mi
Mary Brady, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1922486695
3455 S YARROW ST
Lakewood, CO 80227
(303) 989-5231
✔ PECOS✔ Accepts Medicare0.1 mi
Kira Giovanielli, M.D.
Dermatology
NPI 1497703185
3455 S YARROW ST
Lakewood, CO 80227
(303) 989-5231
✔ PECOS✔ Accepts Medicare0.1 mi
Michaela Mcdonnell, MD
Dermatology
NPI 1245348036
3455 S YARROW ST
Lakewood, CO 80227
(303) 989-5231
✔ PECOS✔ Accepts Medicare0.1 mi
Maryann Straley, NP
Nurse Practitioner
NPI 1780791731
3455 S YARROW ST
Lakewood, CO 80227
(303) 989-5231
✔ PECOS✔ Accepts Medicare0.1 mi
Bryan Coffing, M.D.
Pathology
NPI 1437272705
7444 W ALASKA DR STE 250
Lakewood, CO 80226
(303) 592-7284
✔ PECOS✔ Accepts Medicare3.8 mi
Michelle Chevalier, M.D.
Dermatology
NPI 1508177700
1420 W CANAL CT STE 50
Littleton, CO 80120
(303) 795-2030
✔ PECOS✔ Accepts Medicare7.3 mi
Tiffany Tello, M.D.
Dermatology
NPI 1457793283
1420 W CANAL CT STE 50
Littleton, CO 80120
(303) 795-2030
✔ PECOS✔ Accepts Medicare7.3 mi
Alexandra Theriault, M.D.
Dermatology
NPI 1609980713
1420 W CANAL CT #50
Littleton, CO 80120
(303) 795-2030
✔ PECOS✔ Accepts Medicare7.3 mi
Jade Fettig, M.D.
Dermatology
NPI 1699153478
5340 S QUEBEC ST STE 300
Greenwood Village, CO 80111
(303) 756-7546
✔ PECOS✔ Accepts Medicare9.9 mi
Channing Hood
Dermatology
NPI 1649739848
125 RAMPART WAY STE 220
Denver, CO 80230
(303) 900-4952
✔ PECOS✔ Accepts Medicare11 mi
Emily Nesbitt
Dermatology
NPI 1225667173
125 RAMPART WAY STE 220
Denver, CO 80230
(303) 261-1525
✔ PECOS✔ Accepts Medicare11 mi
Harleen Arora, MD
Dermatology
NPI 1205332764
125 RAMPART WAY
Denver, CO 80230
(303) 261-1525
✔ PECOS✔ Accepts Medicare11 mi
Fiona Zwald, MD
Dermatology
NPI 1487768883
974 S ENOTA DR NE
Gainesville, GA 30501
(770) 536-7546
✔ PECOS✔ Accepts Medicare1,229 mi
Kristen Badawy, FNP-C
Nurse Practitioner
NPI 1639723042
910 EAST WILLOW GROVE
Wyndmoor, PA 19038
(215) 348-7335
✔ PECOS✔ Accepts Medicare1,582 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 06D0514547

Center For Advanced Dermatology · Lakewood, CO
Active · expires Mar 20, 2028
CLIA Number06D0514547
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorDr. Bryan N. Coffing
Laboratory Phone(303) 989-5231
Laboratory LocationCenter For Advanced Dermatology3455 South Yarrow St, Lakewood, CO 80227
CLIA data matches this NPI record on: Address Name Phone
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 Center For Advanced Dermatology LLC's NPI number?

The NPI number for Center For Advanced Dermatology LLC is 1497765762. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Center For Advanced Dermatology LLC located?

Center For Advanced Dermatology LLC is located at 3455 S Yarrow St, Lakewood, CO 80227. The listed phone number is (303) 989-5231.

What is Center For Advanced Dermatology LLC's specialty?

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

Is Center For Advanced Dermatology LLC enrolled in Medicare?

Yes. Center For Advanced Dermatology LLC is registered in the Medicare PECOS enrollment system.

When is Center For Advanced Dermatology LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Center For Advanced Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Center For Advanced 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. The largest specialties are Dermatology (12), Nurse Practitioner (2) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Center For Advanced Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 06D0514547) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Center For Advanced Dermatology LLC was last updated on May 15, 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.