THE DERMATOLOGY CLINIC, P A
NPI 1932168317
Dermatology - Dermatopathology in Wichita, KS

Active since March 22, 2006
835 N HILLSIDE ST, WICHITA, KS 67214(316) 685-4395(316) 685-1149 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Jul 23, 2026, Aug 22, 2020 (3 updates tracked since 2020).

About The Dermatology Clinic, P A NPPES

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

THE DERMATOLOGY CLINIC, P A (NPI 1932168317) is a healthcare organization registered as a dermatopathology in Wichita, Kansas and active in the NPI registry since March 2006. The organization lists Martha Selfridge Housholder, President, as its authorized official.

NPPES Registry Identity

NPI1932168317
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameTHE DERMATOLOGY CLINIC, P A
Location Address835 N HILLSIDE STWichita, KS 67214-4913
Mailing Address835 N Hillside StWichita, KS 67214-4913 · (316) 685-4395 · Fax (316) 685-1149
Fax(316) 685-1149
Organization SubpartNo
Authorized OfficialMartha Selfridge HousholderPresident · (316) 685-4395
Enumeration DateMarch 22, 2006
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1932168317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
835 N HILLSIDE ST, Wichita, KS 67214

Other Identifiers 1

Medicaid100087770AKS

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Dermatology Clinic, P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to The Dermatology Clinic, P A, 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)

Dermatology
NPI 1508848144
835 N HILLSIDE ST
Wichita, KS 67214
(316) 685-4395
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1922038801
835 N HILLSIDE ST
Wichita, KS 67214
(316) 685-4395
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1710915210
9211 E 21ST ST N
Wichita, KS 67206
(316) 609-4558
✔ PECOS✔ Accepts Medicare4.1 mi
Dermatology
NPI 1609847243
2101 N WALDRON ST
Hutchinson, KS 67502
(620) 669-2500
✔ PECOS✔ Accepts Medicare42 mi
Dermatology
NPI 1518100718
3590 LUCILLE DRIVE
Cincinnati, OH 45213
(513) 475-7630
✔ PECOS✔ Accepts Medicare706 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 The Dermatology Clinic, P A's NPI number?

The NPI number for The Dermatology Clinic, P A is 1932168317. It was assigned to this organization in the NPPES registry on March 22, 2006.

Where is The Dermatology Clinic, P A located?

The Dermatology Clinic, P A is located at 835 N Hillside St, Wichita, KS 67214. The listed phone number is (316) 685-4395.

What is The Dermatology Clinic, P A's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is The Dermatology Clinic, P A enrolled in Medicare?

Yes. The Dermatology Clinic, P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Dermatology Clinic, P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to The Dermatology Clinic, P A. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Dermatology Clinic, P A accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list The Dermatology Clinic, P A 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 The Dermatology Clinic, P A was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.