Integrated Dermatology of Clarkston PLLC
NPI 1609656222 · Dermatology Physician · Clarkston, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Dermatology of Clarkston PLLC is a Dermatology Physician organization in Clarkston, WA (NPI 1609656222).
Provider details
- NPI number
- 1609656222
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Animesh Sinha, Officer(561) 314-2000
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
3 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
- 2023-10-02
- Last updated
- 2024-02-07
- Certified
- 2024-02-07
Frequently asked questions
- What is Integrated Dermatology of Clarkston PLLC's NPI number?
- Integrated Dermatology of Clarkston PLLC's National Provider Identifier (NPI) is 1609656222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of Clarkston PLLC?
- Integrated Dermatology of Clarkston PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Dermatology of Clarkston PLLC located?
- Integrated Dermatology of Clarkston PLLC's practice location on file with NPPES is 1433 5th St, Clarkston, WA 99403-2714.
- What is Integrated Dermatology of Clarkston PLLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of Clarkston PLLC is (509) 758-5141.
- Does Integrated Dermatology of Clarkston PLLC accept Medicare?
- Integrated Dermatology of Clarkston 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 Integrated Dermatology of Clarkston PLLC?
- The authorized official listed on Integrated Dermatology of Clarkston PLLC's NPPES record is Animesh Sinha, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of Clarkston PLLC's NPI active?
- Yes — Integrated Dermatology of Clarkston PLLC's NPI (1609656222) is active in the NPPES registry as of the last update on 2024-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.