New Dermatology Group Ltd
NPI 1235480112 · Dermatology Physician · Green Bay, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
New Dermatology Group Ltd is a Dermatology Physician organization in Green Bay, WI (NPI 1235480112).
Provider details
- NPI number
- 1235480112
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevan Lewis, Owner(920) 965-0345
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-10-02
- Last updated
- 2012-12-13
Frequently asked questions
- What is New Dermatology Group Ltd's NPI number?
- New Dermatology Group Ltd's National Provider Identifier (NPI) is 1235480112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Dermatology Group Ltd?
- New Dermatology Group Ltd is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is New Dermatology Group Ltd located?
- New Dermatology Group Ltd's practice location on file with NPPES is 2021 S Webster Ave, Green Bay, WI 54301-2257.
- What is New Dermatology Group Ltd's phone number?
- The practice phone number listed in the NPPES registry for New Dermatology Group Ltd is (920) 965-0345.
- Does New Dermatology Group Ltd accept Medicare?
- New Dermatology Group Ltd 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 New Dermatology Group Ltd?
- The authorized official listed on New Dermatology Group Ltd's NPPES record is Kevan Lewis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Dermatology Group Ltd's NPI active?
- Yes — New Dermatology Group Ltd's NPI (1235480112) is active in the NPPES registry as of the last update on 2012-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.