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ASSOCIATES IN DERMATOLOGY, PLLC
NPI 1629083399
Dermatology in Louisville, KY

Active since July 30, 2006CLIA Certified · 13 labs
3810 SPRINGHURST BLVD, SUITE 200, LOUISVILLE, KY 40241(502) 583-1749(502) 329-8184 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2020, Feb 27, 2019, Jul 17, 2018 and 2 more (5 updates tracked since 2016).

About Associates In Dermatology, Pllc NPPES

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

ASSOCIATES IN DERMATOLOGY, PLLC (NPI 1629083399) is a healthcare organization registered as a dermatology in Louisville, Kentucky and active in the NPI registry since July 2006. The organization holds 13 active CLIA laboratory certificates, maintains 9 additional practice locations, and lists Jyoti Burruss, Partner, as its authorized official.

NPPES Registry Identity

NPI1629083399
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameASSOCIATES IN DERMATOLOGY, PLLC
Location Address3810 SPRINGHURST BLVD, SUITE 200Louisville, KY 40241
Mailing Address3810 Springhurst Blvd, Suite 200Louisville, KY 40241-6100 · (502) 583-1749 · Fax (502) 329-8184
Phone(502) 583-1749
Fax(502) 329-8184
Organization SubpartNo
Authorized OfficialJyoti BurrussPartner · (502) 583-1749
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 15, 20205 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
✔ NPI 1629083399 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 · DermatopathologyTaxonomy 207ND0900X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3810 SPRINGHURST BLVD, Louisville, KY 40241
Open in Google Maps ↗

Secondary Practice Locations 9

Location 110302 Brookridge Village Blvd Ste 102Louisville, KY 40291-4475 · Phone (502) 583-1749 · Fax (502) 329-8184
Location 22241 Green Valley RdNew Albany, IN 47150-4647 · Phone (502) 583-1749 · Fax (502) 329-8184
Location 3908 Wallace Ave Ste 203Leitchfield, KY 42754-1495 · Phone (502) 583-1749 · Fax (502) 329-8184
Location 43 Audubon Plaza Dr Ste 630Louisville, KY 40217-1362 · Phone (502) 583-1749 · Fax (502) 329-8184
Location 5130 Stonecrest Rd Ste 104Shelbyville, KY 40065-8126 · Phone (502) 583-1749 · Fax (502) 329-8184
Location 6325 W Walnut St Ste 300Lebanon, KY 40033-1381 · Phone (502) 583-1749 · Fax (502) 329-8184
Location 71005 E Lewis and Clark PkwyClarksville, IN 47129-2201 · Phone (502) 583-1749 · Fax (502) 329-8184
Location 8114 Manor Ave Ste 3Bardstown, KY 40004-3231 · Phone (502) 583-1749 · Fax (502) 329-8184
Location 91028 N Dixie Ave Ste 140Elizabethtown, KY 42701-2508 · Phone (502) 583-1749 · Fax (502) 329-8184

Other Identifiers 4

Other000000059426KY · Anthem
Medicaid100010640AIN
Medicaid65912032KY
Medicaid7100295380KY

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 Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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)

Associates In Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Associates In Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Dermatology24
Nurse Practitioner10
Pathology2

Nearest to this location (20)

See all 36
Soon Bahrami, M.D.
Pathology
NPI 1770781254
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Ashley Brown, MD
Dermatology
NPI 1376962860
3810 SPRINGHURST BLVD STE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Timothy Brown, M.D.
Dermatology
NPI 1932115821
3810 SPRINGHURST BLVD STE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Callen, M.D.
Dermatology
NPI 1508872821
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Katherine Cregor, APRN
Nurse Practitioner
NPI 1861953630
3810 SPRINGHURST BLVD STE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Kristin Donovan, M.D.
Dermatology
NPI 1952316770
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Mark Haeberle
Dermatology
NPI 1558650291
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Anna Hayden, M.D.
Dermatology
NPI 1750396420
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Jasmine Humeda, MD
Dermatology
NPI 1992381495
3810 SPRINGHURST BLVD STE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Virginia Kartha, M.D.
Dermatology
NPI 1225423742
3810 SPRINGHURST BLVD STE 20
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Carol Kulp-Shorten, MD
Dermatology
NPI 1780699595
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOSSame address
Shannon Mcallister, M.D.
Dermatology
NPI 1518971142
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Michael Mccall, M.D.
Dermatology
NPI 1073837845
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 322-1946
✔ PECOS✔ Accepts MedicareSame address
Cindy Owen, M.D.
Dermatology
NPI 1598803819
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
John Strickley, MD
Dermatology
NPI 1932637188
3810 SPRINGHURST BLVD STE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Mary Thompson, NP
Nurse Practitioner
NPI 1770416141
3810 SPRINGHURST BLVD STE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOSSame address
Samantha Weinberg, FNP-C
Nurse Practitioner
NPI 1467132209
3810 SPRINGHURST BLVD
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Janine Malone, MD
Pathology
NPI 1225044639
3810 SPRINGHURST BLVD SUITE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
Kathryn West, APRN
Nurse Practitioner
NPI 1093173627
3810 SPRINGHURST BLVD #200
Louisville, KY 40241
(502) 329-8184
✔ PECOS✔ Accepts MedicareSame address
Susan Elrod, APRN
Nurse Practitioner
NPI 1063418713
3810 SPRINGHURST BLVD STE 200
Louisville, KY 40241
(502) 583-1749
✔ PECOS✔ Accepts MedicareSame address
See all 36 clinicians

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 13

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) 18D2117519

Associates In Dermatology, PLLC · Lebanon, KY
Active · expires Aug 17, 2028
CLIA Number18D2117519
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2026
Certificate Expiration DateAugust 17, 2028
Laboratory DirectorDr. Mark T. Haeberle
Laboratory Phone(502) 583-1749
Laboratory LocationAssociates In Dermatology, PLLC325 West Walnut Street, Suite 300, Lebanon, KY 40033
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.

Certificate of Compliance 18D2048327

Associates In Dermatology, PLLC · Louisville, KY
Active · expires Jan 22, 2027
CLIA Number18D2048327
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorDr. Timothy S. Brown
Laboratory Phone(502) 583-1749
Laboratory LocationAssociates In Dermatology, PLLC3810 Springhurst Blvd Ste 200, Louisville, KY 40241
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.

Certificate of Accreditation 18D0682078

Associates In Dermatology · Louisville, KY
Active · expires Dec 7, 2026
CLIA Number18D0682078
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorDr. Janine C. Malone
Laboratory Phone(502) 583-1749
Laboratory LocationAssociates In Dermatology3810 Springhurst Boulevard, Ste Ll, Louisville, KY 40241
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D2186531

Associates In Dermatology · Clarksville, IN
Active · expires Jun 17, 2028
CLIA Number15D2186531
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorMegan B. Vissing
Laboratory Phone(502) 625-2205
Laboratory LocationAssociates In Dermatology1005 E Lewis And Clark Parkway Spectrum, Clarksville, IN 47129
CLIA data matches this NPI record on: Address Name
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.

Certificate of Compliance 18D2156587

Associates In Dermatology PLLC · Elizabethtown, KY
Active · expires Apr 10, 2027
CLIA Number18D2156587
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorDr. Tye M. Haeberle
Laboratory Phone(502) 370-3594
Laboratory LocationAssociates In Dermatology PLLC1028 N Dixie Ave, Ste 140, Elizabethtown, KY 42701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 15D1046062

Associates In Dermatology, PLLC · New Albany, IN
Active · expires Jan 12, 2027
CLIA Number15D1046062
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorTyler Geers
Laboratory Phone(812) 948-1148
Laboratory LocationAssociates In Dermatology, PLLC2241 Green Valley Road, New Albany, IN 47150
CLIA data matches this NPI record on: Address Name
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 Associates In Dermatology, PLLC's NPI number?

The NPI number for Associates In Dermatology, PLLC is 1629083399. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Associates In Dermatology, PLLC located?

Associates In Dermatology, PLLC is located at 3810 Springhurst Blvd Suite 200, Louisville, KY 40241. The listed phone number is (502) 583-1749.

What is Associates In Dermatology, PLLC's specialty?

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

Is Associates In Dermatology, PLLC enrolled in Medicare?

Yes. Associates In Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associates In Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 3 Medicare specialties reassign their Medicare billing to Associates In Dermatology, PLLC. 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 (24), Nurse Practitioner (10) and Pathology (2). Of these, 22 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Associates In Dermatology, PLLC hold CLIA laboratory certificates?

Yes. 13 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Associates In Dermatology, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Associates In Dermatology, PLLC 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 Associates In Dermatology, PLLC was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.