ALTITUDE DERMATOLOGY PC
NPI 1821856303
Dermatology in Johnstown, CO
About Altitude Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTITUDE DERMATOLOGY PC (NPI 1821856303), doing business as Altitude Dermatology, Pc, is a healthcare organization registered as a dermatology in Johnstown, Colorado and active in the NPI registry since March 2024. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Brad Baack, Authorized Rep, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Altitude Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Altitude Dermatology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 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 06D2308893
Altitude Dermatology, PC · Longmont, COCertificate of Compliance 06D2308200
Altitude Dermatology, PC · Johnstown, COFrequently 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 Altitude Dermatology PC's NPI number?
The NPI number for Altitude Dermatology PC is 1821856303. It was assigned to this organization in the NPPES registry on March 11, 2024. The provider was formerly known as Altitude Dermatology, PC.
Where is Altitude Dermatology PC located?
Altitude Dermatology PC is located at 4795 Larimer Pkwy Ste 150, Johnstown, CO 80534. The listed phone number is (970) 342-2222.
What is Altitude Dermatology PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Altitude Dermatology PC enrolled in Medicare?
Yes. Altitude Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Altitude Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Altitude Dermatology PC. 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 (3), Nurse Practitioner (1) and Pathology (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Altitude Dermatology PC hold CLIA laboratory certificates?
Yes. 2 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.
When was this NPI record last updated?
The NPPES record for Altitude Dermatology PC was last updated on September 30, 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.
# Altitude Dermatology Pc · NPI 1821856303
Dermatology organization in Johnstown, Colorado. Organization record, active in the CMS NPPES registry since March 11, 2024.
## Identity
- **NPI:** 1821856303 (Entity type: Organization)
- **Enumerated:** March 11, 2024
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Brad Baack, AUTHORIZED REP
## Practice location
- **Address:** 4795 LARIMER PKWY STE 150, Johnstown, CO 80534-9021
- **Phone:** (970) 342-2222 · **Fax:** (970) 342-2233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (3), Nurse Practitioner (1), Pathology (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2024
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1821856303) · Data from the CMS NPPES public registry.