KEYSTONE DERMATOLOGY & CENTER FOR SKIN SURGERY, LLC
NPI 1558549733
Dermatology in Altoona, PA
About Keystone Dermatology & Center For Skin Surgery, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYSTONE DERMATOLOGY & CENTER FOR SKIN SURGERY, LLC (NPI 1558549733) is a healthcare organization registered as a dermatology in Altoona, Pennsylvania and active in the NPI registry since February 2008. The organization lists Gregory John Fulchiero, Owner/operator/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keystone Dermatology & Center For Skin Surgery, 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 Keystone Dermatology & Center For Skin Surgery, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Keystone Dermatology & Center For Skin Surgery, LLC's NPI number?
The NPI number for Keystone Dermatology & Center For Skin Surgery, LLC is 1558549733. It was assigned to this organization in the NPPES registry on February 10, 2008.
Where is Keystone Dermatology & Center For Skin Surgery, LLC located?
Keystone Dermatology & Center For Skin Surgery, LLC is located at 2525 9th Ave Ste 2, Altoona, PA 16602. The listed phone number is (814) 943-7546.
What is Keystone Dermatology & Center For Skin Surgery, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Keystone Dermatology & Center For Skin Surgery, LLC enrolled in Medicare?
Yes. Keystone Dermatology & Center For Skin Surgery, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keystone Dermatology & Center For Skin Surgery, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Keystone Dermatology & Center For Skin Surgery, 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 Keystone Dermatology & Center For Skin Surgery, LLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.