Advanced Dermatologic Surgery, P.A.
NPI 1003016312ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Overland Park, KS
Dermatology, MOHS-Micrographic Surgery in Overland Park, Kansas, registered in NPPES in July 2007. The authorized official on file is Greg Albers, MPA, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1003016312 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2007 |
| Last updated in NPPES | Jun 3, 2022 |
| Certified by provider | Jun 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | — | — |
| Specialist | 174400000X | 04-25136 | KS |
| Clinical Medical Laboratory | 291U00000X | 04-25136 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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