Integra Dermatology PA
NPI 1366820136 · Dermatology Physician · Edina, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integra Dermatology PA is a Dermatology Physician organization in Edina, MN (NPI 1366820136).
Provider details
- NPI number
- 1366820136
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mimi Lam, Owner(612) 767-6000
- License
- 1944 (MN)
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
11 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
- 2015-05-13
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Frequently asked questions
- What is Integra Dermatology PA's NPI number?
- Integra Dermatology PA's National Provider Identifier (NPI) is 1366820136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integra Dermatology PA?
- Integra Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integra Dermatology PA located?
- Integra Dermatology PA's practice location on file with NPPES is 7373 France Ave S Ste 510, Edina, MN 55435-4551.
- What is Integra Dermatology PA's phone number?
- The practice phone number listed in the NPPES registry for Integra Dermatology PA is (612) 767-6000.
- Does Integra Dermatology PA accept Medicare?
- Integra Dermatology PA 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 Integra Dermatology PA?
- The authorized official listed on Integra Dermatology PA's NPPES record is Mimi Lam, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integra Dermatology PA's NPI active?
- Yes — Integra Dermatology PA's NPI (1366820136) is active in the NPPES registry as of the last update on 2021-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.