DUCHARME DERMATOLOGY, P.C.
NPI 1891214896
Dermatology in Clive, IA
About Ducharme Dermatology, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUCHARME DERMATOLOGY, P.C. (NPI 1891214896) is a healthcare organization registered as a dermatology in Clive, Iowa and active in the NPI registry since September 2017. The organization holds a CLIA Certificate of Compliance certificate valid through April 18, 2027 and lists Alex Ducharme, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Ducharme Dermatology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Ducharme Dermatology, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 16D2150786
Ducharme Dermatology, PC · Clive, IAFrequently 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 Ducharme Dermatology, P.C.'s NPI number?
The NPI number for Ducharme Dermatology, P.C. is 1891214896. It was assigned to this organization in the NPPES registry on September 12, 2017.
Where is Ducharme Dermatology, P.C. located?
Ducharme Dermatology, P.C. is located at 16349 Sheridan Drive Suite 101, Clive, IA 50325. The listed phone number is (515) 987-0333.
What is Ducharme Dermatology, P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Ducharme Dermatology, P.C. enrolled in Medicare?
Yes. Ducharme Dermatology, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ducharme Dermatology, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ducharme Dermatology, P.C., in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ducharme Dermatology, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 16D2150786) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ducharme Dermatology, P.C. was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ducharme Dermatology, P.c. · NPI 1891214896
Dermatology organization in Clive, Iowa. Organization record, active in the CMS NPPES registry since September 12, 2017.
## Identity
- **NPI:** 1891214896 (Entity type: Organization)
- **Enumerated:** September 12, 2017
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Alex Ducharme, MANAGER
## Practice location
- **Address:** 16349 SHERIDAN DRIVE, SUITE 101, Clive, IA 50325
- **Phone:** (515) 987-0333 · **Fax:** (833) 288-7944
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Nurse Practitioner (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891214896) · Data from the CMS NPPES public registry.