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ADVANCED DERMATOLOGY, INC.
NPI 1740303395
Specialist in Madison, WI

Active since April 09, 2007CLIA Certified · 3 labs
6510 GRAND TETON PLZ STE 302, MADISON, WI 53719(608) 826-0285(608) 826-0281 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Dermatology, Inc. NPPES

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

ADVANCED DERMATOLOGY, INC. (NPI 1740303395) is a healthcare organization registered as a specialist in Madison, Wisconsin and active in the NPI registry since April 2007. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Monroe, and lists Harry H Sharata, Dermatologist,medical Director, as its authorized official.

NPPES Registry Identity

NPI1740303395
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED DERMATOLOGY, INC.
Location Address6510 GRAND TETON PLZ STE 302Madison, WI 53719-1029
Mailing Address6510 Grand Teton Plz, Suite 302Madison, WI 53719-1029 · (608) 826-0285 · Fax (608) 826-0280
Phone(608) 826-0285
Fax(608) 826-0281
Organization SubpartNo
Authorized OfficialHarry H SharataDermatologist,medical Director · (608) 826-0825
Enumeration DateApril 9, 2007
Last NPPES UpdateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1740303395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WI · 35716020
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6510 GRAND TETON PLZ STE 302, Madison, WI 53719
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Secondary Practice Location 1

Location 1412 18th AveMonroe, WI 53566-5356 · Phone (608) 329-5773 · Fax (608) 329-5776

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

Accepted Insurance

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

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)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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
StateWisconsinEnrollment IDO20040819000211Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Dermatology, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Harry Sharata, MD, PH.D.
Dermatology
NPI 1275595753
6510 GRAND TETON PLZ SUITE 302
Madison, WI 53719
(608) 826-0285
✔ PECOS✔ Accepts MedicareSame address
Jennifer Tran, MD
Dermatology
NPI 1871172809
600 HIGHLAND AVE
Madison, WI 53792
(608) 287-2450
✔ PECOS✔ Accepts Medicare3.4 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 3

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 52D0993510

Advanced Dermatology Inc · Monroe, WI
Active · expires Feb 6, 2028
CLIA Number52D0993510
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorDr. Harry H. Sharata
Laboratory Phone(608) 329-5773
Laboratory LocationAdvanced Dermatology Inc412 18th Ave, Monroe, WI 53566
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.

Certificate of Compliance 52D0951781

Advanced Dermatology Inc · Madison, WI
Active · expires Apr 11, 2027
CLIA Number52D0951781
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorDr. Harry H. Sharata
Laboratory Phone(608) 826-0285
Laboratory LocationAdvanced Dermatology Inc6510 Grand Teton Plaza Ste 302, Madison, WI 53719
CLIA data matches this NPI record on: 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.

Certificate of Waiver 14D2162955

Advanced Dermatology Clinic Inc · Freeport, IL
Active · expires Mar 4, 2027
CLIA Number14D2162955
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorHarry S. Sharata
Laboratory Phone(608) 826-0285
Laboratory LocationAdvanced Dermatology Clinic Inc1036 W Stephenson St, Freeport, IL 61032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Advanced Dermatology, Inc.'s NPI number?

The NPI number for Advanced Dermatology, Inc. is 1740303395. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Advanced Dermatology, Inc. located?

Advanced Dermatology, Inc. is located at 6510 Grand Teton Plz Ste 302, Madison, WI 53719. The listed phone number is (608) 826-0285.

What is Advanced Dermatology, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Advanced Dermatology, Inc. enrolled in Medicare?

Yes. Advanced Dermatology, Inc. is registered in the Medicare PECOS enrollment system.

When is Advanced Dermatology, Inc.'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 (Wisconsin, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Advanced Dermatology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Advanced Dermatology, Inc.. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermatology, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Advanced Dermatology, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Advanced Dermatology, Inc. 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 Advanced Dermatology, Inc. was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.