INNOVATIVE DERMATOLOGY P A
NPI 1417238999
Dermatology in Plano, TX
NPI Status: Active since August 29, 2011
Contact Information
5425 W SPRING CREEK PKWY
SUITE 265
PLANO, TX
ZIP 75024
Phone: (214) 919-3500
Fax: (214) 919-3501
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 45D2026953
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-12-2025
About INNOVATIVE DERMATOLOGY P A
This page provides the complete NPI Profile along with additional information for Innovative Dermatology P A, a provider established in Plano, Texas operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1417238999 assigned on August 2011. The practitioner's primary taxonomy code is 207N00000X with license number N3612 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Seemal R Desai Md (Owner)
- NPI
- 1417238999
- Provider Name
- INNOVATIVE DERMATOLOGY P A
- Entity Type
- Organization
- Location Address
- 5425 W SPRING CREEK PKWY SUITE 265 PLANO, TX 75024
- Location Phone
- (214) 919-3500
- Location Fax
- (214) 919-3501
- Mailing Address
- 5425 W SPRING CREEK PKWY SUITE 265 PLANO, TX 75024
- Mailing Phone
- (214) 919-3500
- Mailing Fax
- (214) 919-3501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2011
- Last Update Date
- 08-29-2011
- Code Navigator
A dermatologist like Innovative Dermatology P A is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- N3612
- License State
- TX
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6000 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Bronze 8500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 1000 Indiv Med Deductible - HMO
- Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 3250 Indiv Med Deductible - HMO
- Connect Gold 3500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3000 Indiv Med Deductible - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2026953
- Facility Type
- Physician Office
- Certificate Effective Date
- July 13, 2023
- Certificate Expiration Date
- July 12, 2025
- Laboratory Director
- SEEMAL R. DESAI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Innovative Dermatology P A in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 2 | 3 | 8 | 9 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 4 | 3 | 16 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 4 + 3 + 1 + 6 + 9 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1417238999 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235168998 | CATHERINE J GOLLHOFER Individual | Occupational Therapist | 5425 W SPRING CREEK PKWY SUITE 270 PLANO, TX 75024 (972) 801-2190 |
| 1013001338 | ELAINE C. TIMM MD Individual | Family Medicine | 5425 W SPRING CREEK PKWY SUITE 200 PLANO, TX 75024 (972) 599-9600 |
| 1740326248 | CHRISTOPHER CHARLES CROW M.D. Individual | Family Medicine | 5425 W SPRING CREEK PKWY SUITE 200 PLANO, TX 75024 (972) 599-9600 |
| 1013053529 | MATTHEW GARRETT WEYENBERG M.D. Individual | Family Medicine | 5425 W SPRING CREEK PKWY SUITE 200 PLANO, TX 75024 (972) 599-9600 |
| 1932229911 | DR. BRIAN DAVID SORIN M.D. Individual | Psychiatry & Neurology (Neurology) | 5425 W SPRING CREEK PKWY SUITE 275 PLANO, TX 75024 (972) 403-8184 |
| 1235318718 | SOURCE ONE REHABILITATION Organization | Clinic/Center (Physical Therapy) | 5425 W SPRING CREEK PKWY SUITE 130 PLANO, TX 75024 (972) 801-2190 |
| 1184801417 | VILLAGE SLEEP CENTER, L.P. Organization | Clinic/Center (Sleep Disorder Diagnostic) | 5425 W SPRING CREEK PKWY SUITE NUMBER 125 PLANO, TX 75024 (972) 599-9600 |
| 1740455658 | SHERRI B. LAMONS AU.D., CCC-A Individual | Audiologist (Assistive Technology Practitioner) | 5425 W SPRING CREEK PKWY SUITE 170 PLANO, TX 75024 (469) 429-9242 |
| 1790931632 | TODD BRANTLEY, OD PA Organization | Optometrist | 5425 W SPRING CREEK PKWY SUITE 145 PLANO, TX 75024 (972) 378-4104 |
| 1932344710 | ELAINE C. TIMM MD, PA Organization | Family Medicine | 5425 W SPRING CREEK PKWY SUITE 210 PLANO, TX 75024 (972) 608-3333 |
| 1164725321 | LYNNE GERLACH DENTAL Organization | Dentist | 5425 W SPRING CREEK PKWY SUITE 165 PLANO, TX 75024 (972) 943-9300 |
| 1619256716 | NORTH TEXAS VILLAGE HEALTH PARTNERS, PA Organization | Pediatrics | 5425 W SPRING CREEK PKWY STE 175 PLANO, TX 75024 (972) 801-2144 |
| 1205865003 | CHIROPRACTIC HEALTH CENTER OF GRAND PRAIRIE, LLC Organization | Chiropractor | 5425 W SPRING CREEK PKWY SUITE 270 PLANO, TX 75024 (972) 801-2190 |
| 1336584911 | SPECIALIZED PLASTIC SURGERY SERVICES PA Organization | Plastic Surgery | 5425 W SPRING CREEK PKWY PLANO, TX 75024 (214) 823-1691 |
| 1609919992 | DR. WILLIAM H GERLACH DDS, PC Individual | Dentist (General Practice) | 5425 W SPRING CREEK PKWY SUITE 165 PLANO, TX 75024 (972) 964-1855 |
| 1013219732 | GERLACH & GERLACH D.D.S. PC Organization | Dentist (General Practice) | 5425 W SPRING CREEK PKWY SUITE 165 PLANO, TX 75024 (972) 964-1855 |
| 1013337377 | DR. CHIH-YU S KUO PHARMD Individual | Pharmacist | 5425 W SPRING CREEK PKWY SUITE 190 PLANO, TX 75024 (214) 291-5087 |
| 1982843769 | LISA MEDWEDEFF M.D. PA Organization | Specialist | 5425 W SPRING CREEK PKWY STE 210 PLANO, TX 75024 (972) 608-3333 |
| 1538218128 | DANIEL W KIM M.D. Individual | Physical Medicine & Rehabilitation | 5425 W SPRING CREEK PKWY SUITE 100 PLANO, TX 75024 (972) 423-5679 |
| 1811959034 | DANIEL SUNWOO M.D. Individual | Physical Medicine & Rehabilitation | 5425 W SPRING CREEK PKWY SUITE 100 PLANO, TX 75024 (972) 596-1059 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417238999, enumerated in the NPI registry as an "organization" on August 29, 2011
The provider is located at 5425 W Spring Creek Pkwy Suite 265 Plano, Tx 75024 and the phone number is (214) 919-3500
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2026953 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on August 29, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.