SKIN CARE EXPERTS LLC
NPI 1649921834
Dermatology - MOHS-Micrographic Surgery in Perrysburg, OH

Q: What is Skin Care Experts LLC's NPI number?

The NPI number for Skin Care Experts LLC is 1649921834. It was assigned to this organization in the NPPES registry on January 10, 2022.

Q: What is Skin Care Experts LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since January 10, 2022CLIA 36D2342034 · Certificate of Compliance

900 W SOUTH BOUNDARY ST BLDG 9, PERRYSBURG, OH 43551(419) 873-6963(419) 873-6964 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2024, May 24, 2022, Jan 10, 2022 (3 updates tracked since 2022).

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About Skin Care Experts Llc NPPES

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

SKIN CARE EXPERTS LLC (NPI 1649921834) is a healthcare organization registered as a mohs-micrographic surgery in Perrysburg, Ohio and active in the NPI registry since January 2022. The organization holds a CLIA Certificate of Compliance certificate valid through August 17, 2028, maintains a secondary practice location in Defiance, and lists Abdel Kader Tal, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1649921834

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameSKIN CARE EXPERTS LLC

Location Address900 W SOUTH BOUNDARY ST BLDG 9Perrysburg, OH 43551-5230

Mailing Address900 W South Boundary St Bldg 9aPerrysburg, OH 43551-5245 · (419) 873-6963 · Fax (419) 873-6964

Phone(419) 873-6963

Fax(419) 873-6964

Organization SubpartNo

Authorized OfficialAbdel Kader TalClinic Director · (419) 320-3777

Enumeration DateJanuary 10, 2022

Last NPPES UpdateMay 17, 20243 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1649921834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

900 W SOUTH BOUNDARY ST BLDG 9, Perrysburg, OH 43551

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Secondary Practice Location 1

Location 11252 Ralston Ave Ste 402CDefiance, OH 43512-1480 · Phone (419) 873-6963 · Fax (419) 873-6964

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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)

Skin Care Experts Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Skin Care Experts LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Lauren Shegos, DO

Dermatology

NPI 1932736600

900 W SOUTH BOUNDARY ST BLDG 9A
Perrysburg, OH 43551

(419) 873-6963

✔ PECOS✔ Accepts MedicareSame address

Abdel Kader Tal, M.D.

Dermatology

NPI 1972708105

900 W SOUTH BOUNDARY ST BLDG 9A
Perrysburg, OH 43551

(419) 873-6963

✔ 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 2

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 36D2342034

Skin Care Experts, LLC · Defiance, OH

Active · expires Aug 17, 2028

CLIA Number36D2342034

Laboratory TypePhysician Office

Certificate Effective DateAugust 18, 2026

Certificate Expiration DateAugust 17, 2028

Laboratory DirectorDr. Abdel Kader Tal

Laboratory Phone(419) 873-6963

Laboratory LocationSkin Care Experts, LLC1250 Ralston Rd, Suite 105, Defiance, OH 43512

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.

Certificate of Compliance 36D2257966

Skin Care Experts, LLC · Perrysburg, OH

Expired · Oct 10, 2026

CLIA Number36D2257966

Laboratory TypePhysician Office

Certificate Effective DateOctober 11, 2024

Certificate Expiration DateOctober 10, 2026

Laboratory DirectorDr. Abdel Kader Tal

Laboratory Phone(419) 873-6963

Laboratory LocationSkin Care Experts, LLC900 W South Boundary St, Bldg 9A, Perrysburg, OH 43551

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 Skin Care Experts LLC's NPI number?

The NPI number for Skin Care Experts LLC is 1649921834. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is Skin Care Experts LLC located?

Skin Care Experts LLC is located at 900 W South Boundary St Bldg 9, Perrysburg, OH 43551. The listed phone number is (419) 873-6963.

What is Skin Care Experts LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Skin Care Experts LLC enrolled in Medicare?

Yes. Skin Care Experts LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Care Experts LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Skin Care Experts LLC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skin Care Experts LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 36D2342034) is associated with this NPI, valid through August 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skin Care Experts LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Skin Care Experts LLC 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 Skin Care Experts LLC was last updated on May 17, 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.