Skin Surgery Center of Missouri, LLC
NPI 1760662514 · Procedural Dermatology Physician · O Fallon, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skin Surgery Center of Missouri, LLC is a Procedural Dermatology Physician organization in O Fallon, MO (NPI 1760662514).
Provider details
- NPI number
- 1760662514
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Saadia Raza, Director(314) 276-0385
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
18 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
- 2007-11-09
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Frequently asked questions
- What is Skin Surgery Center of Missouri, LLC's NPI number?
- Skin Surgery Center of Missouri, LLC's National Provider Identifier (NPI) is 1760662514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skin Surgery Center of Missouri, LLC?
- Skin Surgery Center of Missouri, LLC is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Skin Surgery Center of Missouri, LLC located?
- Skin Surgery Center of Missouri, LLC's practice location on file with NPPES is 6704 Keaton Corporate Pkwy Ste 100, O Fallon, MO 63368-8680.
- What is Skin Surgery Center of Missouri, LLC's phone number?
- The practice phone number listed in the NPPES registry for Skin Surgery Center of Missouri, LLC is (636) 300-9596.
- Does Skin Surgery Center of Missouri, LLC accept Medicare?
- Skin Surgery Center of Missouri, LLC 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 Surgery Center of Missouri, LLC?
- The authorized official listed on Skin Surgery Center of Missouri, LLC's NPPES record is Saadia Raza, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skin Surgery Center of Missouri, LLC's NPI active?
- Yes — Skin Surgery Center of Missouri, LLC's NPI (1760662514) is active in the NPPES registry as of the last update on 2021-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.