DERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORPORATION
NPI 1972591170
Dermatology in Baton Rouge, LA
About Dermatology Clinic A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY CLINIC A PROFESSIONAL MEDICAL CORPORATION (NPI 1972591170) is a healthcare organization registered as a dermatology in Baton Rouge, Louisiana and active in the NPI registry since October 2005. The organization holds a CLIA Microscopy certificate valid through July 13, 2028 and lists Harry A Burglass, Md President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Dermatology Clinic A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Dermatology Clinic A Professional Medical Corporation, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (17)
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 for Provider-Performed Microscopy Procedures (PPMP) 19D2080688
Dermatology Clinic · Walker, LAFrequently 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 A Professional Medical Corporation's NPI number?
The NPI number for Dermatology Clinic A Professional Medical Corporation is 1972591170. It was assigned to this organization in the NPPES registry on October 11, 2005.
Where is Dermatology Clinic A Professional Medical Corporation located?
Dermatology Clinic A Professional Medical Corporation is located at 5326 O'donovan Drive, Baton Rouge, LA 70808. The listed phone number is (225) 769-7546.
What is Dermatology Clinic A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Clinic A Professional Medical Corporation enrolled in Medicare?
Yes. Dermatology Clinic A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Clinic A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Clinic A Professional Medical Corporation. 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 (16) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Clinic A Professional Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D2080688) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dermatology Clinic A Professional Medical Corporation accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 3 other insurers list Dermatology Clinic A Professional Medical Corporation 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 Dermatology Clinic A Professional Medical Corporation was last updated on April 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dermatology Clinic A Professional Medical Corporation · NPI 1972591170
Dermatology organization in Baton Rouge, Louisiana. Organization record, active in the CMS NPPES registry since October 11, 2005.
## Identity
- **NPI:** 1972591170 (Entity type: Organization)
- **Enumerated:** October 11, 2005
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Harry Burglass, MD PRESIDENT
## Practice location
- **Address:** 5326 O'DONOVAN DRIVE, Baton Rouge, LA 70808-9153
- **Phone:** (225) 769-7546 · **Fax:** (225) 769-0471
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (16), Micrographic Dermatologic Surgery (MDS) (1); 9 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2008
- **Other identifiers:** Medicaid 1113247 (LA); Medicare ID-Type Unspecified 5B487
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972591170) · Data from the CMS NPPES public registry.