Uptown Dermatology & Skin Spa, P.A.
NPI 1205868619 · Dermatology Physician · Minneapolis, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Uptown Dermatology & Skin Spa, P.A. is a Dermatology Physician organization in Minneapolis, MN (NPI 1205868619).
Provider details
- NPI number
- 1205868619
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaime Davis, Owner(612) 455-3200
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
19 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
- 2006-07-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Uptown Dermatology & Skin Spa, P.A.'s NPI number?
- Uptown Dermatology & Skin Spa, P.A.'s National Provider Identifier (NPI) is 1205868619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Uptown Dermatology & Skin Spa, P.A.?
- Uptown Dermatology & Skin Spa, P.A. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Uptown Dermatology & Skin Spa, P.A. located?
- Uptown Dermatology & Skin Spa, P.A.'s practice location on file with NPPES is 1221 W Lake St, Minneapolis, MN 55408-3397.
- What is Uptown Dermatology & Skin Spa, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Uptown Dermatology & Skin Spa, P.A. is (612) 455-3200.
- Does Uptown Dermatology & Skin Spa, P.A. accept Medicare?
- Uptown Dermatology & Skin Spa, P.A. 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 Uptown Dermatology & Skin Spa, P.A.?
- The authorized official listed on Uptown Dermatology & Skin Spa, P.A.'s NPPES record is Jaime Davis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Uptown Dermatology & Skin Spa, P.A.'s NPI active?
- Yes — Uptown Dermatology & Skin Spa, P.A.'s NPI (1205868619) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.