SALIDA DERMATOLOGY LLC
NPI 1952164907
Dermatology in Salida, CO
About Salida Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALIDA DERMATOLOGY LLC (NPI 1952164907) is a healthcare organization registered as a dermatology in Salida, Colorado and active in the NPI registry since February 2024. The organization holds a CLIA Certificate of Compliance certificate valid through June 14, 2028 and lists Jeffrey Queen, Officer, 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)
Salida Dermatology Llc 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 Salida 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 (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 06D2073578
Salida Dermatology · Salida, 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 Salida Dermatology LLC's NPI number?
The NPI number for Salida Dermatology LLC is 1952164907. It was assigned to this organization in the NPPES registry on February 2, 2024.
Where is Salida Dermatology LLC located?
Salida Dermatology LLC is located at 515 E 1st St, Salida, CO 81201. The listed phone number is (719) 539-5338.
What is Salida Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Salida Dermatology LLC enrolled in Medicare?
Yes. Salida Dermatology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Salida Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Salida 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.
Does Salida Dermatology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 06D2073578) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Salida Dermatology LLC was last updated on February 2, 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.