LAKES DERMATOLOGY, PA
NPI 1962871608
Dermatology in Burnsville, MN
About Lakes Dermatology, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKES DERMATOLOGY, PA (NPI 1962871608) is a healthcare organization registered as a dermatology in Burnsville, Minnesota and active in the NPI registry since September 2015. The organization holds a CLIA Certificate of Compliance certificate valid through July 19, 2028 and lists Rehana Leila Ahmed-saucedo, Dermatologist, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Lakes Dermatology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Lakes Dermatology, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Burnsville, MN 55306
Burnsville, MN 55306
Burnsville, MN 55306
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 24D2105418
Lakes Dermatology · Burnsville, MNFrequently 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 Lakes Dermatology, PA's NPI number?
The NPI number for Lakes Dermatology, PA is 1962871608. It was assigned to this organization in the NPPES registry on September 23, 2015.
Where is Lakes Dermatology, PA located?
Lakes Dermatology, PA is located at 14305 Southcross Dr W Suite 110, Burnsville, MN 55306. The listed phone number is (612) 387-4627.
What is Lakes Dermatology, PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Lakes Dermatology, PA enrolled in Medicare?
Yes. Lakes Dermatology, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakes Dermatology, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Lakes Dermatology, PA. 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 (8) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakes Dermatology, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 24D2105418) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lakes Dermatology, PA accept?
Health plans from HealthPartners and Medica list Lakes Dermatology, PA 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 Lakes Dermatology, PA was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Lakes Dermatology, Pa · NPI 1962871608
Dermatology organization in Burnsville, Minnesota. Organization record, active in the CMS NPPES registry since September 23, 2015.
## Identity
- **NPI:** 1962871608 (Entity type: Organization)
- **Enumerated:** September 23, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Rehana Ahmed-Saucedo, DERMATOLOGIST, PRESIDENT
## Practice location
- **Address:** 14305 SOUTHCROSS DR W, SUITE 110, Burnsville, MN 55306-7009
- **Phone:** (612) 387-4627 · **Fax:** (612) 377-9713
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (8), Micrographic Dermatologic Surgery (MDS) (2); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962871608) · Data from the CMS NPPES public registry.