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DERMATOLOGY CLINIC OF IOWA PC
NPI 1962610725
Specialist in Cedar Rapids, IA

Active since May 17, 2007CLIA Certified · 2 labs
1815 1ST AVE SE, SUITE 200, CEDAR RAPIDS, IA 52402(319) 363-0474(319) 363-2170 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dermatology Clinic Of Iowa Pc NPPES

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

DERMATOLOGY CLINIC OF IOWA PC (NPI 1962610725) is a healthcare organization registered as a specialist in Cedar Rapids, Iowa and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Barbara Ann Pfeiffer, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962610725
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY CLINIC OF IOWA PC
Location Address1815 1ST AVE SE, SUITE 200Cedar Rapids, IA 52402-5434
Mailing Address1815 First Ave Se, Suite 200Cedar Rapids, IA 52402 · (319) 363-0474 · Fax (319) 363-2170
Phone(319) 363-0474
Fax(319) 363-2170
Organization SubpartNo
Authorized OfficialBarbara Ann PfeifferOffice Manager · (319) 363-0474
Enumeration DateMay 17, 2007
Last NPPES UpdateMay 27, 2010
✔ NPI 1962610725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IA · 33078
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1815 1ST AVE SE, Cedar Rapids, IA 52402
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Other Identifiers 1

Medicare UPINH05910IA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Clinic Of Iowa Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Dermatology Clinic Of Iowa PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Lauren Doughty-Mcdonald, M.D.
Dermatology
NPI 1114119229
1815 1ST AVE SE SUITE 200
Cedar Rapids, IA 52402
(319) 363-0474
✔ PECOS✔ Accepts MedicareSame address
Emily Boes, D.O.
Dermatology
NPI 1417307497
1815 1ST AVE SE STE 200
Cedar Rapids, IA 52402
(319) 363-0474
✔ PECOS✔ Accepts MedicareSame address
David Knutson, M.D.
Dermatology
NPI 1720025414
1815 1ST AVE SE SUITE 200
Cedar Rapids, IA 52402
(319) 363-0474
✔ PECOS✔ Accepts MedicareSame address
Matthew Landherr, M.D.
Dermatology
NPI 1033554498
1815 1ST AVE SE STE 200
Cedar Rapids, IA 52402
(319) 363-0474
✔ PECOS✔ Accepts MedicareSame address
Chelsi Miller, FNP
Nurse Practitioner
NPI 1912230426
1815 1ST AVE SE SUITE # 200
Cedar Rapids, IA 52402
(319) 363-0474
✔ PECOS✔ Accepts MedicareSame address
Caroline Morris, M.D.
Dermatology
NPI 1134579535
1815 1ST AVE SE STE 100
Cedar Rapids, IA 52402
(319) 363-0474
✔ PECOS✔ Accepts MedicareSame address

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 2

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 16D0386928

Dermatology Clinic Of Iowa · Cedar Rapids, IA
Active · expires Jan 6, 2028
CLIA Number16D0386928
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorCaroline R. Morris
Laboratory Phone(319) 363-0474
Laboratory LocationDermatology Clinic Of Iowa1815 1st Avenue SE, Suite 100, Cedar Rapids, IA 52402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D2272505

Dermatology Clinic Of Iowa · Cedar Rapids, IA
Active · expires Nov 21, 2026
CLIA Number16D2272505
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorDavid L. Knutson
Laboratory Phone(319) 363-0474
Laboratory LocationDermatology Clinic Of Iowa1815 1st Ave SE Suite 200, Cedar Rapids, IA 52402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Dermatology Clinic Of Iowa PC's NPI number?

The NPI number for Dermatology Clinic Of Iowa PC is 1962610725. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Dermatology Clinic Of Iowa PC located?

Dermatology Clinic Of Iowa PC is located at 1815 1st Ave SE Suite 200, Cedar Rapids, IA 52402. The listed phone number is (319) 363-0474.

What is Dermatology Clinic Of Iowa PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dermatology Clinic Of Iowa PC enrolled in Medicare?

Yes. Dermatology Clinic Of Iowa PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Clinic Of Iowa PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Clinic Of Iowa PC. 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 (5) and Nurse Practitioner (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology Clinic Of Iowa PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dermatology Clinic Of Iowa PC was last updated on May 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.