Regional Dermatology PLLC
NPI 1255851200 · MOHS-Micrographic Surgery Physician · Lexington, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Regional Dermatology PLLC is a MOHS-Micrographic Surgery Physician organization in Lexington, KY (NPI 1255851200).
Provider details
- NPI number
- 1255851200
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Pruden, President(859) 296-7546
- License
- 34192 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Other names (DBA / former)
- Doing business as
- Skin MD
- Doing business as
- Skin MD
- Doing business as
- Skinmd
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2022-07-21
Frequently asked questions
- What is Regional Dermatology PLLC's NPI number?
- Regional Dermatology PLLC's National Provider Identifier (NPI) is 1255851200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Regional Dermatology PLLC?
- Regional Dermatology PLLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Regional Dermatology PLLC located?
- Regional Dermatology PLLC's practice location on file with NPPES is 989 Governors Ln Ste 220, Lexington, KY 40513-1175.
- What is Regional Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Regional Dermatology PLLC is (859) 296-7546.
- Does Regional Dermatology PLLC accept Medicare?
- Regional Dermatology PLLC 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 Regional Dermatology PLLC?
- The authorized official listed on Regional Dermatology PLLC's NPPES record is Samuel Pruden, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Regional Dermatology PLLC's NPI active?
- Yes — Regional Dermatology PLLC's NPI (1255851200) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.