HIGHLANDER DERMATOLOGY LLC
NPI 1790216554
Clinic/Center - Medical Specialty in Brookfield, WI
NPI Status: Active since March 23, 2017
Contact Information
16650 W BLUEMOUND RD STE 600
BROOKFIELD, WI
ZIP 53005
Phone: (262) 290-4540
Fax: (262) 299-6435
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
- CLIA Number: 52D2135992
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-10-2026
About HIGHLANDER DERMATOLOGY LLC
This page provides the complete NPI Profile along with additional information for Highlander Dermatology Llc, a provider established in Brookfield, Wisconsin operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1790216554 assigned on March 2017. The practitioner's primary taxonomy code is 261QM2500X with license number H059290 (WI). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Bradley T.j. Straka M.d. (Owner)
- NPI
- 1790216554
- Provider Name
- HIGHLANDER DERMATOLOGY LLC
- Entity Type
- Organization
- Location Address
- 16650 W BLUEMOUND RD STE 600 BROOKFIELD, WI 53005
- Location Phone
- (262) 290-4540
- Location Fax
- (262) 299-6435
- Mailing Address
- 16650 W BLUEMOUND RD STE 600 BROOKFIELD, WI 53005
- Mailing Phone
- (262) 290-4540
- Mailing Fax
- (262) 299-6435
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-23-2017
- Last Update Date
- 08-09-2024
- Code Navigator
Location Map
Secondary Locations
- 5600 W Rawson Ave Ste 101
Franklin, WI 53132
(262) 290-4540
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- H059290
- License State
- WI
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1518950153 | MEDICAID (05) | WI | |
| 1215992979 | OTHER (01) | WI | NPI |
| 1326031964 | OTHER (01) | WI | SOLE OWNER NPI: 1326031964. HIGHLANDER LLC TIN: |
| 1912942285 | MEDICAID (05) | WI | |
| 1518950153 | OTHER (01) | WI | NPI |
| 1912942285 | OTHER (01) | WI | NPI |
| 1215992979 | MEDICAID (05) | WI | |
| 1346499738 | OTHER (01) | WI | NPI |
| 1326031964 | MEDICAID (05) | WI | |
| 1346499738 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2135992
- Facility Type
- Physician Office
- Certificate Effective Date
- July 11, 2024
- Certificate Expiration Date
- July 10, 2026
- Laboratory Director
- DR. KRISTINA A. KLEVEN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Highlander Dermatology Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790216554, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790216554, enumerated as an "organization" on March 23, 2017.
The provider is located at 16650 W BLUEMOUND RD STE 600 BROOKFIELD, WI 53005 and the phone number is (262) 290-4540.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
