SIGNATURE DERMATOLOGY LLC
NPI 1679723894
Dermatology in Hilliard, OH
About Signature Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIGNATURE DERMATOLOGY LLC (NPI 1679723894) is a healthcare organization registered as a dermatology in Hilliard, Ohio and active in the NPI registry since September 2008. The organization holds 2 active CLIA laboratory certificates and lists Andrea Costanza, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Signature Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Signature Dermatology LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 for Provider-Performed Microscopy Procedures (PPMP) 36D1099400
Signature Dermatology LLC · Hilliard, OHCertificate of Compliance 36D2207423
Signature Dermatology · Powell, OHFrequently 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 Signature Dermatology LLC's NPI number?
The NPI number for Signature Dermatology LLC is 1679723894. It was assigned to this organization in the NPPES registry on September 24, 2008.
Where is Signature Dermatology LLC located?
Signature Dermatology LLC is located at 3853 Trueman Court, Hilliard, OH 43026. The listed phone number is (614) 777-1200.
What is Signature Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Signature Dermatology LLC enrolled in Medicare?
Yes. Signature Dermatology LLC is registered in the Medicare PECOS enrollment system.
When is Signature Dermatology LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Signature Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Signature Dermatology 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. The largest specialties are Dermatology (6) and Pathology (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Signature Dermatology LLC hold CLIA laboratory certificates?
Yes. 2 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 Signature Dermatology LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Signature Dermatology 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 Signature Dermatology LLC was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Signature Dermatology Llc · NPI 1679723894
Dermatology organization in Hilliard, Ohio. Organization record, active in the CMS NPPES registry since September 24, 2008.
## Identity
- **NPI:** 1679723894 (Entity type: Organization)
- **Enumerated:** September 24, 2008
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Andrea Costanza, DIRECTOR
## Practice location
- **Address:** 3853 TRUEMAN COURT, Hilliard, OH 43026
- **Phone:** (614) 777-1200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Ohio, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Pathology (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2008
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679723894) · Data from the CMS NPPES public registry.