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DELUXE DERMATOLOGY LLC
NPI 1922605906
Dermatology in Saint Louis, MO

Active since October 03, 2020
1034 S BRENTWOOD BLVD STE 1000, SAINT LOUIS, MO 63117(314) 781-0794 Get Directions Write a Review

NPPES record last updated: October 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deluxe Dermatology Llc NPPES

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

DELUXE DERMATOLOGY LLC (NPI 1922605906) is a healthcare organization registered as a dermatology in Saint Louis, Missouri and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Saint Louis and lists Duane Ardie Dilworth, Physician, as its authorized official.

NPPES Registry Identity

NPI1922605906
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDELUXE DERMATOLOGY LLC
Location Address1034 S BRENTWOOD BLVD STE 1000Saint Louis, MO 63117-1210
Mailing Address1034 S Brentwood Blvd Ste 1000Saint Louis, MO 63117-1210 · (314) 781-0794
Phone(314) 781-0794
Organization SubpartNo
Authorized OfficialDuane Ardie DilworthPhysician · (314) 781-0794
Enumeration DateOctober 3, 2020
NPPES CertifiedOctober 3, 2020
✔ NPI 1922605906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1034 S BRENTWOOD BLVD STE 1000, Saint Louis, MO 63117
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Secondary Practice Location 1

Location 111125 Dunn Rd Ste 411Saint Louis, MO 63136-6132 · Phone (314) 355-7111 · Fax (314) 355-8604

Other Identifiers 1

Other2020010839MO · Missouri Board Of Registration For The Healing Arts

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Deluxe Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Deluxe Dermatology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Duane Dilworth, M.D.
Dermatology
NPI 1730507617
1034 S BRENTWOOD BLVD STE 1000
Saint Louis, MO 63117
(314) 781-0794
✔ PECOS✔ Accepts MedicareSame address
Jacquelyn Garrett, MD
Dermatology
NPI 1851495907
11125 DUNN RD STE 411
Saint Louis, MO 63136
(314) 355-7111
✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Deluxe Dermatology LLC's NPI number?

The NPI number for Deluxe Dermatology LLC is 1922605906. It was assigned to this organization in the NPPES registry on October 3, 2020.

Where is Deluxe Dermatology LLC located?

Deluxe Dermatology LLC is located at 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117. The listed phone number is (314) 781-0794.

What is Deluxe Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Deluxe Dermatology LLC enrolled in Medicare?

Yes. Deluxe Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deluxe Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Deluxe Dermatology LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deluxe Dermatology LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Deluxe 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 Deluxe Dermatology LLC was last updated on October 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.