1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Dermatology
  6. NPI Profile

INTEGRATED DERMATOLOGY OF COLUMBUS LLC
NPI 1528404886
Dermatology in Columbus, OH

Active since May 14, 2013CLIA 36D0686623 · Certificate of Compliance
150 TAYLOR STATION RD, SUITE 250, COLUMBUS, OH 43213(614) 863-3222(614) 863-4450 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Integrated Dermatology Of Columbus Llc NPPES

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

INTEGRATED DERMATOLOGY OF COLUMBUS LLC (NPI 1528404886) is a healthcare organization registered as a dermatology in Columbus, Ohio and active in the NPI registry since May 2013. The organization holds a CLIA Certificate of Compliance certificate valid through February 9, 2028 and lists Jeffrey D Queen, President, as its authorized official.

NPPES Registry Identity

NPI1528404886
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF COLUMBUS LLC
Location Address150 TAYLOR STATION RD, SUITE 250Columbus, OH 43213-4440
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Phone(614) 863-3222
Fax(614) 863-4450
Organization SubpartNo
Authorized OfficialJeffrey D QueenPresident · (561) 314-2000
Enumeration DateMay 14, 2013
Last NPPES UpdateJanuary 16, 2019
✔ NPI 1528404886 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.
150 TAYLOR STATION RD, Columbus, OH 43213
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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 Columbus Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Dermatology Of Columbus LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Benjamin Bogucki, M.D.
Dermatology
NPI 1740438423
150 TAYLOR STATION RD SUITE 250
Columbus, OH 43213
(614) 863-3222
✔ PECOS✔ Accepts MedicareSame address
Alan Parks, M.D.
Dermatology
NPI 1598751653
150 TAYLOR STATION RD SUITE 250
Columbus, OH 43213
(614) 863-3222
✔ PECOS✔ Accepts MedicareSame address

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 36D0686623

Integrated Dermatology Of Columbus LLC · Columbus, OH
Active · expires Feb 9, 2028
CLIA Number36D0686623
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorAlan Parks
Laboratory Phone(614) 863-3222
Laboratory LocationIntegrated Dermatology Of Columbus LLC150 Taylor Station Road Suite 250, Columbus, OH 43213
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 Integrated Dermatology Of Columbus LLC's NPI number?

The NPI number for Integrated Dermatology Of Columbus LLC is 1528404886. It was assigned to this organization in the NPPES registry on May 14, 2013.

Where is Integrated Dermatology Of Columbus LLC located?

Integrated Dermatology Of Columbus LLC is located at 150 Taylor Station Rd Suite 250, Columbus, OH 43213. The listed phone number is (614) 863-3222.

What is Integrated Dermatology Of Columbus LLC's specialty?

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

Is Integrated Dermatology Of Columbus LLC enrolled in Medicare?

Yes. Integrated Dermatology Of Columbus LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Dermatology Of Columbus LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Integrated Dermatology Of Columbus 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Integrated Dermatology Of Columbus LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 36D0686623) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrated Dermatology Of Columbus LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Integrated Dermatology Of Columbus 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 Columbus LLC was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.