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GREATER DES MOINES DERMATOLOGY PC
NPI 1730188160
Dermatology in Urbandale, IA

Active since July 18, 2005CLIA 16D0992680 · Microscopy
2424 128TH ST, NW 128TH STREET, URBANDALE, IA 50323(515) 243-8676(515) 243-0487 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Greater Des Moines Dermatology Pc NPPES

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

GREATER DES MOINES DERMATOLOGY PC (NPI 1730188160) is a healthcare organization registered as a dermatology in Urbandale, Iowa and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through October 22, 2027 and lists Timothy Garth Abrahamson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730188160
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGREATER DES MOINES DERMATOLOGY PC
Location Address2424 128TH ST, NW 128TH STREETUrbandale, IA 50323-1816
Mailing Address2424 128th St, Nw 128th StreetUrbandale, IA 50323-1816 · (515) 243-8676 · Fax (515) 243-0487
Phone(515) 243-8676
Fax(515) 243-0487
Organization SubpartNo
Authorized OfficialTimothy Garth AbrahamsonCeo · (515) 243-8676
Enumeration DateJuly 18, 2005
Last NPPES UpdateMarch 24, 2008
✔ NPI 1730188160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IA · 33182
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.
2424 128TH ST, Urbandale, IA 50323
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Other Identifiers 3

Medicare UPINH34252IA
Medicaid0255075IA
Medicare PINI4908IA

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)

Greater Des Moines Dermatology Pc 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 Greater Des Moines Dermatology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Timothy Abrahamson, M.D.
Dermatology
NPI 1245239623
2424 128TH ST NW 128TH STREET
Urbandale, IA 50323
(515) 243-8676
✔ PECOS✔ Accepts MedicareSame address
Michelle Greiman, FNP-C
Nurse Practitioner
NPI 1982354817
2424 128TH ST
Urbandale, IA 50323
(515) 243-8676
✔ 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) 16D0992680

Greater Des Moines Dermatology · Urbandale, IA
Active · expires Oct 22, 2027
CLIA Number16D0992680
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorTimothy G. Abrahamson, MD
Laboratory Phone(515) 243-8676
Laboratory LocationGreater Des Moines Dermatology2424 128th Street, Urbandale, IA 50323
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 Greater Des Moines Dermatology PC's NPI number?

The NPI number for Greater Des Moines Dermatology PC is 1730188160. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Greater Des Moines Dermatology PC located?

Greater Des Moines Dermatology PC is located at 2424 128th St NW 128th Street, Urbandale, IA 50323. The listed phone number is (515) 243-8676.

What is Greater Des Moines Dermatology PC's specialty?

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

Is Greater Des Moines Dermatology PC enrolled in Medicare?

Yes. Greater Des Moines Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Des Moines Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Greater Des Moines Dermatology PC, in Dermatology and Nurse Practitioner. 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 Greater Des Moines Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D0992680) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greater Des Moines Dermatology PC was last updated on March 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.