Integrated Skin Institute PLLC
NPI 1770351041 · Dermatology Physician · Lebanon, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Skin Institute PLLC is a Dermatology Physician organization in Lebanon, TN (NPI 1770351041).
Provider details
- NPI number
- 1770351041
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tejaswi Mudigonda, Ceo(551) 208-3090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-12-18
- Last updated
- 2024-04-07
- Certified
- 2024-04-07
Frequently asked questions
- What is Integrated Skin Institute PLLC's NPI number?
- Integrated Skin Institute PLLC's National Provider Identifier (NPI) is 1770351041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Skin Institute PLLC?
- Integrated Skin Institute PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Skin Institute PLLC located?
- Integrated Skin Institute PLLC's practice location on file with NPPES is 1424 W Baddour Pkwy Ste G, Lebanon, TN 37087-2685.
- What is Integrated Skin Institute PLLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Skin Institute PLLC is (615) 314-1699.
- Does Integrated Skin Institute PLLC accept Medicare?
- Integrated Skin Institute 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 Skin Institute PLLC?
- The authorized official listed on Integrated Skin Institute PLLC's NPPES record is Tejaswi Mudigonda, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Skin Institute PLLC's NPI active?
- Yes — Integrated Skin Institute PLLC's NPI (1770351041) is active in the NPPES registry as of the last update on 2024-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.