DERMATOLOGY ARTS
NPI 1790103430
Clinic/Center - Medical Specialty in Bellevue, WA
About Dermatology Arts NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY ARTS (NPI 1790103430) is a healthcare organization registered as a medical specialty in Bellevue, Washington and active in the NPI registry since March 2014. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Samir P. Master, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted 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)
Dermatology Arts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Dermatology Arts, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 50D2107490
Dermatology Arts · Bellevue, WAFrequently 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 Dermatology Arts, PLLC's NPI number?
The NPI number for Dermatology Arts, PLLC is 1790103430. It was assigned to this organization in the NPPES registry on March 31, 2014. The provider is doing business as Dermatology Arts.
Where is Dermatology Arts, PLLC located?
Dermatology Arts, PLLC is located at 1414 116th Ave NE Ste E, Bellevue, WA 98004. The listed phone number is (425) 753-2918.
What is Dermatology Arts, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Dermatology Arts, PLLC enrolled in Medicare?
Yes. Dermatology Arts, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Arts, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Arts, 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. The largest specialties are Dermatology (4) and Nurse Practitioner (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Arts, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 50D2107490) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dermatology Arts, PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Dermatology Arts, 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 Dermatology Arts, PLLC was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dermatology Arts · NPI 1790103430
Medical Specialty organization in Bellevue, Washington. Organization record, active in the CMS NPPES registry since March 31, 2014.
## Identity
- **NPI:** 1790103430 (Entity type: Organization)
- **Enumerated:** March 31, 2014
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Legal business name:** Dermatology Arts, Pllc
- **Organization subpart:** No
- **Authorized official:** Samir Master, MANAGING MEMBER
## Practice location
- **Address:** 1414 116TH AVE NE STE E, Bellevue, WA 98004-3801
- **Phone:** (425) 753-2918
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Nurse Practitioner (2); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790103430) · Data from the CMS NPPES public registry.