1. Home
  2. Directory
  3. Washington
  4. Bellevue
  5. Dermatology
  6. NPI Profile

PINNACLE DERMATOLOGY
NPI 1588897102
Dermatology in Bellevue, WA

Active since August 30, 2009CLIA 50D2201120 · Microscopy
1515 116TH AVE NE, STE 307, BELLEVUE, WA 98004(425) 999-2628(253) 559-9020 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pinnacle Dermatology NPPES

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

PINNACLE DERMATOLOGY (NPI 1588897102) is a healthcare organization registered as a dermatology in Bellevue, Washington and active in the NPI registry since August 2009. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Deetta M Gray, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1588897102
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePINNACLE DERMATOLOGY
Location Address1515 116TH AVE NE, STE 307Bellevue, WA 98004-3811
Mailing AddressPo Box 3418Kirkland, WA 98083-3418 · (425) 999-2628 · Fax (253) 559-9020
Phone(425) 999-2628
Fax(253) 559-9020
Organization SubpartNo
Authorized OfficialDeetta M GraySole Member · (425) 999-2628
Enumeration DateAugust 30, 2009
Last NPPES UpdateMarch 23, 2015
✔ NPI 1588897102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WA · MD025209MD00035417
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.
1515 116TH AVE NE, Bellevue, WA 98004
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 Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 50D2201120

Pinnacle Dermatology And Skin Rejuvenation · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2201120
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDe Etta Gray
Laboratory Phone(425) 999-2628
Laboratory LocationPinnacle Dermatology And Skin Rejuvenation1515 116th Ave NE Ste 307, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JF ROSENWALD DDS PS
Dentist (General Practice)
1515 116TH AVE NE, SUITE 305
BELLEVUE, WA 98004
King County (425) 454-4040
BELLEVUE NEUROMUSCULAR DENTISTRY LLC
Dentist (General Practice)
1515 116TH AVE NE, SUITE 303
BELLEVUE, WA 98004
King County (425) 637-1000
DR. JAMES F. ROSENWALD DDS
Dentist (General Practice)
1515 116TH AVE NE, SUITE #305
BELLEVUE, WA 98004
King County (425) 454-4040
BELLEVUE OBGYN LLC
Obstetrics & Gynecology
1515 116TH AVE NE, 205
BELLEVUE, WA 98004
King County (425) 698-1588
A SMILING HEART DENTISTRY PLLC
Dentist
1515 116TH AVE NE, SUITE 106
BELLEVUE, WA 98004
King County (425) 455-0981
JOANNA B. SLOAN MD
Clinic/Center
1515 116TH AVE NE, SUITE 307
BELLEVUE, WA 98004
King County (425) 899-4300
RESTORIX MEDICAL GROUP PLLC
Specialist
1515 116TH AVE NE, SUITE 300
BELLEVUE, WA 98004
King County (425) 313-4800
BELLEVUE HYPERBARICS,PLLC
Clinic/Center (Medical Specialty)
1515 116TH AVE NE, SUITE 202
BELLEVUE, WA 98004
King County (425) 313-4800

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 Pinnacle Dermatology's NPI number?

The NPI number for Pinnacle Dermatology is 1588897102. It was assigned to this organization in the NPPES registry on August 30, 2009.

Where is Pinnacle Dermatology located?

Pinnacle Dermatology is located at 1515 116th Ave NE Ste 307, Bellevue, WA 98004. The listed phone number is (425) 999-2628.

What is Pinnacle Dermatology's specialty?

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

Does Pinnacle Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2201120) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pinnacle Dermatology accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pinnacle Dermatology 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 Pinnacle Dermatology was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.