Integrated Dermatology of Boulder Creek, LLC
NPI 1790145183ActiveOrganization· Dermatology· Boulder, CO
Dermatology in Boulder, Colorado, registered in NPPES in February 2016. The authorized official on file is Adam S. Plotkin, MD, Signor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790145183 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 29, 2016 |
| Last updated in NPPES | Jan 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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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