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ECKER DERMATOLOGY PA
NPI 1598538258
Dermatology in Wayzata, MN

Active since November 03, 2023CLIA 24D2302573 · Certificate of Compliance
1905 WAYZATA BLVD STE 240, WAYZATA, MN 55391(952) 222-8149(262) 240-6257 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2024, Nov 3, 2023 (2 updates tracked since 2023).

About Ecker Dermatology Pa NPPES

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

ECKER DERMATOLOGY PA (NPI 1598538258) is a healthcare organization registered as a dermatology in Wayzata, Minnesota and active in the NPI registry since November 2023. The organization holds a CLIA Certificate of Compliance certificate valid through December 11, 2026 and lists Phillip Marks Ecker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598538258
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameECKER DERMATOLOGY PA
Location Address1905 WAYZATA BLVD STE 240Wayzata, MN 55391-5006
Mailing Address1905 Wayzata Blvd Ste 240Wayzata, MN 55391-5006
Phone(952) 222-8149
Fax(262) 240-6257
Organization SubpartNo
Authorized OfficialPhillip Marks EckerCeo · (952) 222-8149
Enumeration DateNovember 3, 2023
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1598538258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1905 WAYZATA BLVD STE 240, Wayzata, MN 55391
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Ecker Dermatology Pa 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 Ecker Dermatology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Phillip Ecker, M.D.
Dermatology
NPI 1851378020
1905 WAYZATA BLVD STE 240
Wayzata, MN 55391
(952) 222-8149
✔ PECOS✔ Accepts Medicare0.2 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 24D2302573

Ecker Dermatology, PA · Wayzata, MN
Active · expires Dec 11, 2026
CLIA Number24D2302573
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorPhil M. Ecker
Laboratory Phone(952) 222-8149
Laboratory LocationEcker Dermatology, PA1905 Wayzata Blvd E, Ste 240, Wayzata, MN 55391
CLIA data matches this NPI record on: 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 Ecker Dermatology PA's NPI number?

The NPI number for Ecker Dermatology PA is 1598538258. It was assigned to this organization in the NPPES registry on November 3, 2023.

Where is Ecker Dermatology PA located?

Ecker Dermatology PA is located at 1905 Wayzata Blvd Ste 240, Wayzata, MN 55391. The listed phone number is (952) 222-8149.

What is Ecker Dermatology PA's specialty?

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

Is Ecker Dermatology PA enrolled in Medicare?

Yes. Ecker Dermatology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ecker Dermatology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Ecker Dermatology PA. 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.

Does Ecker Dermatology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D2302573) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ecker Dermatology PA accept?

Health plans from HealthPartners list Ecker Dermatology PA 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 Ecker Dermatology PA was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.