1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Pathology
  6. NPI Profile

AMERICAN DERMATOPATHOLOGY LABORATORY, LLC
NPI 1669882478
Pathology - Dermatopathology in Dayton, OH

Active since May 01, 2014CLIA 36D2072045 · Certificate of Compliance
210A E SPRING VALLEY PIKE, DAYTON, OH 45458(937) 412-4230(937) 482-0542 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About American Dermatopathology Laboratory, Llc NPPES

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

AMERICAN DERMATOPATHOLOGY LABORATORY, LLC (NPI 1669882478) is a healthcare organization registered as a dermatopathology in Dayton, Ohio and active in the NPI registry since May 2014. The organization holds a CLIA Certificate of Compliance certificate valid through August 18, 2028 and lists Hassan Nicholas Shamma, Owner, as its authorized official.

NPPES Registry Identity

NPI1669882478
Entity TypeOrganization
Primary Taxonomy207ZD0900X
Legal Business NameAMERICAN DERMATOPATHOLOGY LABORATORY, LLC
Location Address210A E SPRING VALLEY PIKEDayton, OH 45458-2653
Mailing Address210a E Spring Valley PikeDayton, OH 45458-2653 · (937) 412-4230 · Fax (937) 482-0542
Phone(937) 412-4230
Fax(937) 482-0542
Organization SubpartNo
Authorized OfficialHassan Nicholas ShammaOwner · (937) 602-4322
Enumeration DateMay 1, 2014
Last NPPES UpdateApril 1, 2015
✔ NPI 1669882478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
210A E SPRING VALLEY PIKE, Dayton, OH 45458
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

American Dermatopathology Laboratory, Llc 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 American Dermatopathology Laboratory, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hassan Shamma, MD
Pathology
NPI 1245211770
210A E SPRING VALLEY PIKE
Dayton, OH 45458
(937) 412-4230
✔ 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 36D2072045

American Dermatopathology Laboratory · Centerville, OH
Active · expires Aug 18, 2028
CLIA Number36D2072045
Laboratory TypeIndependent
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateAugust 18, 2028
Laboratory DirectorHassan Nicholas Shamma
Laboratory Phone(937) 412-4230
Laboratory LocationAmerican Dermatopathology Laboratory210 East Spring Valley Road, Suite A, Centerville, OH 45458
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 American Dermatopathology Laboratory, LLC's NPI number?

The NPI number for American Dermatopathology Laboratory, LLC is 1669882478. It was assigned to this organization in the NPPES registry on May 1, 2014.

Where is American Dermatopathology Laboratory, LLC located?

American Dermatopathology Laboratory, LLC is located at 210A E Spring Valley Pike, Dayton, OH 45458. The listed phone number is (937) 412-4230.

What is American Dermatopathology Laboratory, LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is American Dermatopathology Laboratory, LLC enrolled in Medicare?

Yes. American Dermatopathology Laboratory, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through American Dermatopathology Laboratory, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pathology) reassigns their Medicare billing to American Dermatopathology Laboratory, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does American Dermatopathology Laboratory, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 36D2072045) is associated with this NPI, valid through August 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does American Dermatopathology Laboratory, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list American Dermatopathology Laboratory, 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 American Dermatopathology Laboratory, LLC was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.