ASPEN AND VAIL DERMATOLOGY
NPI 1730106642
Dermatology in Edwards, CO

Active since July 16, 2006
1140 EDWARDS VILLAGE BLVD, SUITE B200, EDWARDS, CO 81632(970) 926-9226(970) 926-8755 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2023, Sep 11, 2020, Aug 28, 2019 (3 updates tracked since 2019).

About Aspen And Vail Dermatology NPPES

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

ASPEN AND VAIL DERMATOLOGY (NPI 1730106642) is a healthcare organization registered as a dermatology in Edwards, Colorado and active in the NPI registry since July 2006. The organization lists Gheorghe Pusta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730106642
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBELLA DERMA, LLC
Location Address1140 EDWARDS VILLAGE BLVD, SUITE B200Edwards, CO 81632
Mailing Address7300 Ranch Rd. 2222, Bldg 1, Ste 200Austin, TX 78730 · (512) 628-0465 · Fax (512) 628-0468
Fax(970) 926-8755
Organization SubpartNo
Authorized OfficialGheorghe PustaCeo · (512) 960-5760
Enumeration DateJuly 16, 2006
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1730106642 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.
1140 EDWARDS VILLAGE BLVD, Edwards, CO 81632

Other Names 1

Doing Business AsAspen And Vail Dermatology

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aspen And Vail Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20040812000579Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Aspen And Vail Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Dermatology19
Nurse Practitioner3

Nearest to this location (20)

See all 22
Dermatology
NPI 1255774329
1140 EDWARDS VILLAGE BLVD
Edwards, CO 81632
(970) 926-9226
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1265542377
1140 EDWARDS VILLAGE BLVD SUITE B200
Edwards, CO 81632
(970) 926-9226
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1104387794
984 N 10 MILE DR #103
Frisco, CO 80443
(970) 668-0998
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1427520469
984 TEN MILE DR. SUITE 3
Frisco, CO 80443
(970) 926-9226
✔ PECOS✔ Accepts Medicare27 mi
Dermatology
NPI 1205161478
332 W MAIN ST UNIT 101
Aspen, CO 81611
(970) 920-0067
✔ PECOS✔ Accepts Medicare33 mi
Dermatology
NPI 1962582817
925 RUSH DR
Salida, CO 81201
(719) 539-4600
✔ PECOS✔ Accepts Medicare82 mi
Dermatology
NPI 1487647947
925 RUSH DR CENTRAL COLORADO DERMATOLOGY
Salida, CO 81201
(719) 539-4600
✔ PECOS✔ Accepts Medicare82 mi
Dermatology
NPI 1205842051
280 EXEMPLA CIR
Lafayette, CO 80026
(303) 338-4545
✔ PECOS✔ Accepts Medicare84 mi
Dermatology
NPI 1326194945
2009 W LITTLETON BLVD # 100
Littleton, CO 80120
(303) 221-4448
✔ PECOS✔ Accepts Medicare85 mi
Dermatology
NPI 1912311671
1960 OGDEN ST SUITE 400
Denver, CO 80218
(303) 318-1540
✔ PECOS✔ Accepts Medicare87 mi
Dermatology
NPI 1003173154
3773 E CHERRY CREEK NORTH DR STE 970
Denver, CO 80209
(303) 388-5629
✔ PECOS✔ Accepts Medicare88 mi
Dermatology
NPI 1023538956
2530 N 8TH ST STE 205
Grand Junction, CO 81501
(970) 245-1500
✔ PECOS✔ Accepts Medicare112 mi
Dermatology
NPI 1801877394
307 E COLORADO AVENUE SUITE 104
Telluride, CO 81435
(970) 837-7227
✔ PECOS✔ Accepts Medicare135 mi
Dermatology
NPI 1972130326
65 MERCADO ST STE 205
Durango, CO 81301
(970) 315-1743
✔ PECOS✔ Accepts Medicare179 mi
Nurse Practitioner
NPI 1245871623
5512 E MAIN ST STE A
Farmington, NM 87402
(505) 787-2515
✔ PECOS✔ Accepts Medicare215 mi
Nurse Practitioner
NPI 1801671631
5512 E MAIN ST STE A
Farmington, NM 87402
(505) 787-2515
✔ PECOS✔ Accepts Medicare215 mi
Dermatology
NPI 1457391732
1916 PASEO SAN LUIS
Sierra Vista, AZ 85635
(520) 458-1505
✔ PECOS✔ Accepts Medicare596 mi
Dermatology
NPI 1851824825
1615 HOSPITAL PKWY STE 306
Bedford, TX 76022
(817) 684-5100
✔ PECOS✔ Accepts Medicare706 mi
Dermatology
NPI 1740638949
2857 CHARLESTOWN RD STE 100
New Albany, IN 47150
(812) 944-7500
✔ PECOS✔ Accepts Medicare1,121 mi
Dermatology
NPI 1558999698
201 14TH ST SW
Largo, FL 33770
(727) 588-5704
✔ PECOS✔ Accepts Medicare1,583 mi
See all 22 clinicians

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 06D1035398

Bella Derma, LLC · Edwards, CO
Expired · Sep 30, 2026
CLIA Number06D1035398
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2023
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Julia D. Kreger
Laboratory Phone(970) 926-9226
Laboratory LocationBella Derma, LLC1140 Edwards Village Blvd, Ste B200, Edwards, CO 81632
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 Bella Derma, LLC's NPI number?

The NPI number for Bella Derma, LLC is 1730106642. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Aspen And Vail Dermatology.

Where is Bella Derma, LLC located?

Bella Derma, LLC is located at 1140 Edwards Village Blvd Suite B200, Edwards, CO 81632. The listed phone number is (970) 926-9226.

What is Bella Derma, LLC's specialty?

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

Is Bella Derma, LLC enrolled in Medicare?

Yes. Bella Derma, LLC is registered in the Medicare PECOS enrollment system.

When is Bella Derma, 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 (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Bella Derma, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 2 Medicare specialties reassign their Medicare billing to Bella Derma, 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 (19) and Nurse Practitioner (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bella Derma, LLC was last updated on December 7, 2023. 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.