INTEGRATED DERMATOLOGY OF SOUTH BURLINGTON, PLLC
NPI 1871199703
Dermatology in South Burlington, VT
About Integrated Dermatology Of South Burlington, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED DERMATOLOGY OF SOUTH BURLINGTON, PLLC (NPI 1871199703) is a healthcare organization registered as a dermatology in South Burlington, Vermont and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through September 30, 2028 and lists Robert Benson, Authorized Group Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Integrated Dermatology Of South Burlington, Pllc 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 Integrated Dermatology Of South Burlington, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Barre, VT 05641
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 Waiver 30D0687560
Integrated Dermatology Of South Burlington · South Burlington, VTFrequently 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 Integrated Dermatology Of South Burlington, PLLC's NPI number?
The NPI number for Integrated Dermatology Of South Burlington, PLLC is 1871199703. It was assigned to this organization in the NPPES registry on December 7, 2020.
Where is Integrated Dermatology Of South Burlington, PLLC located?
Integrated Dermatology Of South Burlington, PLLC is located at 321 Dorset St, South Burlington, VT 05403. The listed phone number is (802) 660-8808.
What is Integrated Dermatology Of South Burlington, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Integrated Dermatology Of South Burlington, PLLC enrolled in Medicare?
Yes. Integrated Dermatology Of South Burlington, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Dermatology Of South Burlington, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrated Dermatology Of South Burlington, 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 (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Integrated Dermatology Of South Burlington, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 30D0687560) is associated with this NPI, valid through September 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Integrated Dermatology Of South Burlington, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Integrated Dermatology Of South Burlington, 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 Integrated Dermatology Of South Burlington, PLLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Integrated Dermatology Of South Burlington, Pllc · NPI 1871199703
Dermatology organization in South Burlington, Vermont. Organization record, active in the CMS NPPES registry since December 7, 2020.
## Identity
- **NPI:** 1871199703 (Entity type: Organization)
- **Enumerated:** December 7, 2020
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Robert Benson, AUTHORIZED GROUP OFFICIAL
## Practice location
- **Address:** 321 DORSET ST, South Burlington, VT 05403-6639
- **Phone:** (802) 660-8808 · **Fax:** (802) 660-4310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Nurse Practitioner (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871199703) · Data from the CMS NPPES public registry.