Derm Haven Inc
NPI 1164164141 · Dermatology Physician · St George, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derm Haven Inc is a Dermatology Physician organization in St George, UT (NPI 1164164141).
Provider details
- NPI number
- 1164164141
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tina Moussally, Owner(435) 695-8585
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-05-19
- Certified
- 2022-05-19
Frequently asked questions
- What is Derm Haven Inc's NPI number?
- Derm Haven Inc's National Provider Identifier (NPI) is 1164164141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derm Haven Inc?
- Derm Haven Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Derm Haven Inc located?
- Derm Haven Inc's practice location on file with NPPES is 352 E Riverside Dr Ste A3, St George, UT 84790-6759.
- What is Derm Haven Inc's phone number?
- The practice phone number listed in the NPPES registry for Derm Haven Inc is (435) 695-8585.
- Does Derm Haven Inc accept Medicare?
- Derm Haven Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Derm Haven Inc?
- The authorized official listed on Derm Haven Inc's NPPES record is Tina Moussally, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derm Haven Inc's NPI active?
- Yes — Derm Haven Inc's NPI (1164164141) is active in the NPPES registry as of the last update on 2022-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.