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HIGHLANDER DERMATOLOGY LLC
NPI 1790216554
Clinic/Center - Medical Specialty in Brookfield, WI

Active since March 23, 2017CLIA 52D2135992 · Certificate of Compliance
16650 W BLUEMOUND RD STE 600, BROOKFIELD, WI 53005(262) 290-4540(262) 299-6435 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2024, Jul 21, 2022, Aug 17, 2018 and 2 more (5 updates tracked since 2017).

About Highlander Dermatology Llc NPPES

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

HIGHLANDER DERMATOLOGY LLC (NPI 1790216554) is a healthcare organization registered as a medical specialty in Brookfield, Wisconsin and active in the NPI registry since March 2017. The organization holds a CLIA Certificate of Compliance certificate valid through July 10, 2028, maintains a secondary practice location in Franklin, and lists Bradley T.j. Straka, Owner, as its authorized official.

NPPES Registry Identity

NPI1790216554
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameHIGHLANDER DERMATOLOGY LLC
Location Address16650 W BLUEMOUND RD STE 600Brookfield, WI 53005-5970
Mailing Address16650 W Bluemound Rd Ste 600Brookfield, WI 53005-5970 · (262) 290-4540 · Fax (262) 299-6435
Phone(262) 290-4540
Fax(262) 299-6435
Organization SubpartNo
Authorized OfficialBradley T.j. StrakaOwner · (414) 899-2385
Enumeration DateMarch 23, 2017
Last NPPES UpdateAugust 9, 20245 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1790216554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in WI · H059290
Definition
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).
16650 W BLUEMOUND RD STE 600, Brookfield, WI 53005
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Secondary Practice Location 1

Location 15600 W Rawson Ave Ste 101Franklin, WI 53132-9279 · Phone (262) 290-4540 · Fax (262) 299-6435

Other Identifiers 10

Medicaid1518950153WI
Other1215992979WI · Npi
Other1326031964WI · Sole Owner Npi: 1326031964. Highlander Llc Tin:
Medicaid1912942285WI
Other1518950153WI · Npi
Other1912942285WI · Npi
Medicaid1215992979WI
Other1346499738WI · Npi
Medicaid1326031964WI
Medicaid1346499738WI

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 2

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 52D2135992

Highlander Dermatology LLC · Brookfield, WI
Active · expires Jul 10, 2028
CLIA Number52D2135992
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorDr. Kristina A. Kleven
Laboratory Phone(262) 290-4540
Laboratory LocationHighlander Dermatology LLC16650 W Bluemound Rd, Ste B800, Brookfield, WI 53005
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 52D2308730

Highlander Dermatology LLC · Franklin, WI
Expired · Jul 31, 2026
CLIA Number52D2308730
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Kristina A. Kleven
Laboratory Phone(262) 290-4540
Laboratory LocationHighlander Dermatology LLC5600 Rawson Ave, Ste 101, Franklin, WI 53132
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 Highlander Dermatology LLC's NPI number?

The NPI number for Highlander Dermatology LLC is 1790216554. It was assigned to this organization in the NPPES registry on March 23, 2017.

Where is Highlander Dermatology LLC located?

Highlander Dermatology LLC is located at 16650 W Bluemound Rd Ste 600, Brookfield, WI 53005. The listed phone number is (262) 290-4540.

What is Highlander Dermatology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Highlander Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D2135992) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Highlander Dermatology LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Highlander Dermatology LLC 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 Highlander Dermatology LLC was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.