Associates in Dermatology, PLLC
NPI 1629083399ActiveOrganization· Dermatology· Louisville, KY
Dermatology in Louisville, Kentucky, registered in NPPES in July 2006. The authorized official on file is Jyoti Burruss, MD, Partner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1629083399 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2006 |
| Last updated in NPPES | Jul 15, 2020 |
| Certified by provider | Jul 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KY) |
|---|
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