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MERIDIAN DERMATOLOGY PLLC
NPI 1780346809
Dermatology in Meridian, ID

Active since October 06, 2021CLIA 13D2259174 · Certificate of Compliance
3250 N LESLIE WAY STE 110, MERIDIAN, ID 83646(208) 609-9500 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 22, 2023, Oct 6, 2021 (2 updates tracked since 2021).

About Meridian Dermatology Pllc NPPES

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

MERIDIAN DERMATOLOGY PLLC (NPI 1780346809) is a healthcare organization registered as a dermatology in Meridian, Idaho and active in the NPI registry since October 2021. The organization holds a CLIA Certificate of Compliance certificate valid through January 29, 2028 and lists Ryan Jeffrey Harris, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1780346809
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMERIDIAN DERMATOLOGY PLLC
Location Address3250 N LESLIE WAY STE 110Meridian, ID 83646-5362
Mailing Address1940 S Bonito Way Ste 190Meridian, ID 83642-5618 · (208) 287-9420
Phone(208) 609-9500
Organization SubpartNo
Authorized OfficialRyan Jeffrey HarrisOwner, Physician · (434) 987-3922
Enumeration DateOctober 6, 2021
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1780346809 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.
3250 N LESLIE WAY STE 110, Meridian, ID 83646
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Meridian Dermatology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Harris, MD
Dermatology
NPI 1952628745
3250 N LESLIE WAY STE 110
Meridian, ID 83646
(208) 609-9500
✔ 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 of Compliance 13D2259174

Meridian Dermatology · Meridian, ID
Active · expires Jan 29, 2028
CLIA Number13D2259174
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorRyan J. Harris
Laboratory Phone(208) 609-9500
Laboratory LocationMeridian Dermatology3250 N Leslie Way Ste 110, Meridian, ID 83646
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 Meridian Dermatology PLLC's NPI number?

The NPI number for Meridian Dermatology PLLC is 1780346809. It was assigned to this organization in the NPPES registry on October 6, 2021.

Where is Meridian Dermatology PLLC located?

Meridian Dermatology PLLC is located at 3250 N Leslie Way Ste 110, Meridian, ID 83646. The listed phone number is (208) 609-9500.

What is Meridian Dermatology PLLC's specialty?

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

Is Meridian Dermatology PLLC enrolled in Medicare?

Yes. Meridian Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meridian Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Meridian Dermatology PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Meridian Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D2259174) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Meridian Dermatology PLLC accept?

Health plans from Moda Health Plan, Inc. list Meridian Dermatology PLLC 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 Meridian Dermatology PLLC was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.