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ALTOONA DERMATOLOGY ASSOCIATES INC
NPI 1710728027
Dermatology in Altoona, PA

Active since June 03, 2024CLIA 39D0864147 · Microscopy
1101 LOGAN BLVD, ALTOONA, PA 16602(814) 943-9879(814) 943-1808 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Altoona Dermatology Associates Inc NPPES

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

ALTOONA DERMATOLOGY ASSOCIATES INC (NPI 1710728027) is a healthcare organization registered as a dermatology in Altoona, Pennsylvania and active in the NPI registry since June 2024. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Kim P Sieg, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710728027
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALTOONA DERMATOLOGY ASSOCIATES INC
Location Address1101 LOGAN BLVDAltoona, PA 16602-4029
Mailing Address1101 Logan BlvdAltoona, PA 16602-4029 · (814) 943-9879 · Fax (814) 943-1808
Phone(814) 943-9879
Fax(814) 943-1808
Organization SubpartNo
Authorized OfficialKim P SiegOffice Manager · (814) 943-9879
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1710728027 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.
1101 LOGAN BLVD, Altoona, PA 16602
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Altoona Dermatology Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Altoona Dermatology Associates Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Anna Berning, MD
Dermatology
NPI 1134748478
1101 LOGAN BLVD
Altoona, PA 16602
(814) 943-9879
✔ PECOS✔ Accepts MedicareSame address
Patrick Mclucas, D.O.
General Practice
NPI 1548471402
1101 LOGAN BLVD
Altoona, PA 16602
(814) 943-9879
✔ 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) 39D0864147

Altoona Dermatology Associates · Altoona, PA
Active · expires Aug 31, 2028
CLIA Number39D0864147
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. Patrick B. Mclucas
Laboratory Phone(814) 943-9879
Laboratory LocationAltoona Dermatology Associates1101 Logan Blvd, Altoona, PA 16602
CLIA data matches this NPI record on: Address 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 Altoona Dermatology Associates Inc's NPI number?

The NPI number for Altoona Dermatology Associates Inc is 1710728027. It was assigned to this organization in the NPPES registry on June 3, 2024.

Where is Altoona Dermatology Associates Inc located?

Altoona Dermatology Associates Inc is located at 1101 Logan Blvd, Altoona, PA 16602. The listed phone number is (814) 943-9879.

What is Altoona Dermatology Associates Inc's specialty?

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

Is Altoona Dermatology Associates Inc enrolled in Medicare?

Yes. Altoona Dermatology Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Altoona Dermatology Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Altoona Dermatology Associates Inc, in Dermatology and General Practice. 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 Altoona Dermatology Associates Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0864147) is associated with this NPI, valid through August 31, 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 Altoona Dermatology Associates Inc was last updated on June 3, 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.