AESTHETIC DERMATOLOGY & COSMETIC SURGERY MEDICAL ASSOCIATES, INC
NPI 1639162480
Dermatology in Mill Valley, CA
About Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AESTHETIC DERMATOLOGY & COSMETIC SURGERY MEDICAL ASSOCIATES, INC (NPI 1639162480) is a healthcare organization registered as a dermatology in Mill Valley, California and active in the NPI registry since August 2005. The organization lists Michelle Lanoue, Remote Business Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc's NPI number?
The NPI number for Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc is 1639162480. It was assigned to this organization in the NPPES registry on August 26, 2005.
Where is Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc located?
Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc is located at 535 Miller Ave, Mill Valley, CA 94941. The listed phone number is (415) 383-5486.
What is Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc enrolled in Medicare?
Yes. Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc, in Dermatology and Nurse Practitioner. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.