Dermatology and Mohs Surgery Institute, Ltd.
NPI 1770828626 · Specialist · Bloomington, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology and Mohs Surgery Institute, Ltd. is a Specialist organization in Bloomington, IL (NPI 1770828626).
Provider details
- NPI number
- 1770828626
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Douglas Leone, Owner(309) 678-9596
- License
- 036.129240 (IL)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-12-04
- Last updated
- 2013-01-29
Frequently asked questions
- What is Dermatology and Mohs Surgery Institute, Ltd.'s NPI number?
- Dermatology and Mohs Surgery Institute, Ltd.'s National Provider Identifier (NPI) is 1770828626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology and Mohs Surgery Institute, Ltd.?
- Dermatology and Mohs Surgery Institute, Ltd. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Dermatology and Mohs Surgery Institute, Ltd. located?
- Dermatology and Mohs Surgery Institute, Ltd.'s practice location on file with NPPES is 3024 E Empire St, Bloomington, IL 61704-5402.
- What is Dermatology and Mohs Surgery Institute, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Dermatology and Mohs Surgery Institute, Ltd. is (309) 678-9596.
- Does Dermatology and Mohs Surgery Institute, Ltd. accept Medicare?
- Dermatology and Mohs Surgery Institute, Ltd. 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 Dermatology and Mohs Surgery Institute, Ltd.?
- The authorized official listed on Dermatology and Mohs Surgery Institute, Ltd.'s NPPES record is Douglas Leone, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology and Mohs Surgery Institute, Ltd.'s NPI active?
- Yes — Dermatology and Mohs Surgery Institute, Ltd.'s NPI (1770828626) is active in the NPPES registry as of the last update on 2013-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.