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AYLESWORTH DERMATOLOGY SC
NPI 1649215302
Dermatology in Rhinelander, WI

Active since June 18, 2006CLIA 52D0395780 · Certificate of Compliance
550 E TIMBER DR, RHINELANDER, WI 54501(715) 226-9232(949) 862-7646 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aylesworth Dermatology Sc NPPES

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

AYLESWORTH DERMATOLOGY SC (NPI 1649215302) is a healthcare organization registered as a dermatology in Rhinelander, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 23, 2028 and lists Robert J Aylesworth, President, as its authorized official.

NPPES Registry Identity

NPI1649215302
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAYLESWORTH DERMATOLOGY SC
Location Address550 E TIMBER DRRhinelander, WI 54501-2894
Mailing Address550 E Timber DrRhinelander, WI 54501-2894 · (715) 226-9232 · Fax (715) 862-7646
Phone(715) 226-9232
Fax(949) 862-7646
Organization SubpartNo
Authorized OfficialRobert J AylesworthPresident · (715) 226-9232
Enumeration DateJune 18, 2006
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1649215302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
550 E TIMBER DR, Rhinelander, WI 54501
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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 Anthem Blue Cross and Blue Shield, Aspirus Health Plan.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)

Aylesworth Dermatology Sc 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 Aylesworth Dermatology Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Aylesworth, MD
Dermatology
NPI 1356397699
550 E TIMBER DR
Rhinelander, WI 54501
(715) 369-4500
✔ PECOS✔ Accepts MedicareSame address

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 52D0395780

Aylesworth Dermatology Sc · Rhinelander, WI
Active · expires Aug 23, 2028
CLIA Number52D0395780
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2026
Certificate Expiration DateAugust 23, 2028
Laboratory DirectorDr. Robert J. Aylesworth
Laboratory Phone(715) 226-9232
Laboratory LocationAylesworth Dermatology Sc550 E Timber Dr, Rhinelander, WI 54501
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.

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 Aylesworth Dermatology Sc's NPI number?

The NPI number for Aylesworth Dermatology Sc is 1649215302. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Aylesworth Dermatology Sc located?

Aylesworth Dermatology Sc is located at 550 E Timber Dr, Rhinelander, WI 54501. The listed phone number is (715) 226-9232.

What is Aylesworth Dermatology Sc's specialty?

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

Is Aylesworth Dermatology Sc enrolled in Medicare?

Yes. Aylesworth Dermatology Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aylesworth Dermatology Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Aylesworth Dermatology Sc. 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 Aylesworth Dermatology Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D0395780) is associated with this NPI, valid through August 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aylesworth Dermatology Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and Aspirus Health Plan list Aylesworth Dermatology Sc 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 Aylesworth Dermatology Sc was last updated on April 21, 2023. 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.