Azeal Dermatology Institute, LLC
NPI 1003209248ActiveOrganization· Dermatology· Boulder, CO
Dermatology in Boulder, Colorado, registered in NPPES in March 2015. The authorized official on file is Stacey Pilkington, D.O., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003209248 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2015 |
| Last updated in NPPES | Sep 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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