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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FIRST CAPITOL DERMATOLOGY, L.L.C.
NPI 1730352394
Dermatology - MOHS-Micrographic Surgery in St. Charles, MO

Active since April 03, 2008CLIA 26D0944171 · Certificate of Compliance
901 S. 5TH ST., FIRST CAPITOL DERMATOLOGY, L.L.C., ST. CHARLES, MO 63301(636) 916-1300(636) 916-1561 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Mar 1, 2017 (2 updates tracked since 2017).

About First Capitol Dermatology, L.l.c. NPPES

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

FIRST CAPITOL DERMATOLOGY, L.L.C. (NPI 1730352394), doing business as First Capitol Surgical Dermatology, is a healthcare organization registered as a mohs-micrographic surgery in St. Charles, Missouri and active in the NPI registry since April 2008. The organization holds a CLIA Certificate of Compliance certificate valid through December 7, 2026, maintains a secondary practice location in Creve Coeur, and lists Shelly A Kelch, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1730352394
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameFIRST CAPITOL DERMATOLOGY, L.L.C.
Location Address901 S. 5TH ST., FIRST CAPITOL DERMATOLOGY, L.L.C.St. Charles, MO 63301-2416
Mailing Address901 S 5th StSaint Charles, MO 63301-2416 · (636) 916-1300 · Fax (636) 916-1561
Phone(636) 916-1300
Fax(636) 916-1561
Organization SubpartNo
Authorized OfficialShelly A KelchPractice Manager · (636) 916-1300
Enumeration DateApril 3, 2008
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1730352394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Licenses✔ Licensed · R4P68✔ Licensed in MO · R4P68
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
901 S. 5TH ST., St. Charles, MO 63301
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Other Names 1

Doing Business AsFirst Capitol Surgical Dermatology

Secondary Practice Location 1

Location 1456 N New Ballas Rd Ste 386Creve Coeur, MO 63141-6846 · Phone (636) 916-1300 · Fax (636) 916-1561

Other Identifiers 1

Medicaid203348628MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

First Capitol Dermatology, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to First Capitol Dermatology, L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Henry Clever, MD
Dermatology
NPI 1518925312
901 S 5TH ST
St Charles, MO 63301
(636) 916-1300
✔ PECOS✔ Accepts Medicare1.0 mi
Ashley Mcguinness, MD
Dermatology
NPI 1851882716
1001 CHESTERFIELD PKWY E STE 101
Chesterfield, MO 63017
(314) 878-3839
✔ PECOS✔ Accepts Medicare10 mi
Katherine Glaser, M.D.
Dermatology
NPI 1497100713
163 MEDICAL DR
Hannibal, MO 63401
(573) 719-1818
✔ PECOS✔ Accepts Medicare84 mi

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 26D0944171

First Capitol Surgical Dermatology, LLC · Saint Charles, MO
Active · expires Dec 7, 2026
CLIA Number26D0944171
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorKatherine S. Glaser
Laboratory Phone(636) 916-1300
Laboratory LocationFirst Capitol Surgical Dermatology, LLC901 South 5th St, Saint Charles, MO 63301
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 First Capitol Dermatology, L.L.C.'s NPI number?

The NPI number for First Capitol Dermatology, L.L.C. is 1730352394. It was assigned to this organization in the NPPES registry on April 3, 2008. The provider is doing business as First Capitol Surgical Dermatology.

Where is First Capitol Dermatology, L.L.C. located?

First Capitol Dermatology, L.L.C. is located at 901 S. 5th St. First Capitol Dermatology, L.L.C., St. Charles, MO 63301. The listed phone number is (636) 916-1300.

What is First Capitol Dermatology, L.L.C.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is First Capitol Dermatology, L.L.C. enrolled in Medicare?

Yes. First Capitol Dermatology, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Capitol Dermatology, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to First Capitol Dermatology, L.L.C.. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does First Capitol Dermatology, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D0944171) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does First Capitol Dermatology, L.L.C. accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list First Capitol Dermatology, L.L.C. 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 First Capitol Dermatology, L.L.C. was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.