Mod Dermatology PC
NPI 1982105425ActiveOrganization· Dermatology· Omaha, NE
Dermatology in Omaha, Nebraska, registered in NPPES in February 2018. The authorized official on file is Alaina Patera, MBA, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982105425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2018 |
| Last updated in NPPES | Jan 20, 2023 |
| Certified by provider | Jan 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 28493 | NE |
| Specialist | 174400000X | — | — |
| Dermatology | 207N00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
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 (NE) |
|---|
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