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APPLIED DERMATOLOGY, PC
NPI 1700058203
Clinic/Center - Medical Specialty in Centennial, CO

Active since March 25, 2008CLIA 06D1085621 · Microscopy
13111 E BRIARWOOD AVE, 305, CENTENNIAL, CO 80112(720) 279-1388 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Applied Dermatology, Pc NPPES

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

APPLIED DERMATOLOGY, PC (NPI 1700058203) is a healthcare organization registered as a medical specialty in Centennial, Colorado and active in the NPI registry since March 2008. The organization holds a CLIA Microscopy certificate valid through June 22, 2028 and lists George J Poggioli, President, as its authorized official.

NPPES Registry Identity

NPI1700058203
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameAPPLIED DERMATOLOGY, PC
Location Address13111 E BRIARWOOD AVE, 305Centennial, CO 80112-3930
Mailing AddressPo Box 3277Englewood, CO 80155-3277 · (720) 279-1388
Phone(720) 279-1388
Organization SubpartNo
Authorized OfficialGeorge J PoggioliPresident · (303) 482-1956
Enumeration DateMarch 25, 2008
Last NPPES UpdateMarch 20, 2014
✔ NPI 1700058203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
13111 E BRIARWOOD AVE, Centennial, CO 80112
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Applied Dermatology, Pc 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 Applied Dermatology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

George Poggioli, M.D., PH.D.
Dermatology
NPI 1407950108
13111 E BRIARWOOD AVE 305
Centennial, CO 80112
(720) 279-1388
✔ 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 for Provider-Performed Microscopy Procedures (PPMP) 06D1085621

Applied Dermatology, PC · Centennial, CO
Active · expires Jun 22, 2028
CLIA Number06D1085621
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorGeorge Poggioli
Laboratory Phone(720) 279-1388
Laboratory LocationApplied Dermatology, PC14000 E Arapahoe Rd Ste C-350, Centennial, CO 80112
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Applied Dermatology, PC's NPI number?

The NPI number for Applied Dermatology, PC is 1700058203. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is Applied Dermatology, PC located?

Applied Dermatology, PC is located at 13111 E Briarwood Ave 305, Centennial, CO 80112. The listed phone number is (720) 279-1388.

What is Applied Dermatology, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Applied Dermatology, PC enrolled in Medicare?

Yes. Applied Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Applied Dermatology, PC?

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D1085621) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Applied Dermatology, PC was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.