Skin Group PLLC
NPI 1366564494 · MOHS-Micrographic Surgery Physician · Louisville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skin Group PLLC is a MOHS-Micrographic Surgery Physician organization in Louisville, KY (NPI 1366564494).
Provider details
- NPI number
- 1366564494
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Zax, President(502) 583-6647
- License
- PA1034 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1868 W Hebron Ln Ste 200Shepherdsville, KY 40165-7481Phone: (502) 583-6647Fax: (502) 585-4824
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Frequently asked questions
- What is Skin Group PLLC's NPI number?
- Skin Group PLLC's National Provider Identifier (NPI) is 1366564494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skin Group PLLC?
- Skin Group PLLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Skin Group PLLC located?
- Skin Group PLLC's practice location on file with NPPES is 2307 River Rd Ste 101, Louisville, KY 40206-5000.
- What is Skin Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Skin Group PLLC is (502) 583-6647.
- Does Skin Group PLLC accept Medicare?
- Skin Group 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 Skin Group PLLC?
- The authorized official listed on Skin Group PLLC's NPPES record is Robert Zax, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skin Group PLLC's NPI active?
- Yes — Skin Group PLLC's NPI (1366564494) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.