Optima Dermatology LLC
NPI 1831187764 · Dermatology Physician · Boardman, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optima Dermatology LLC is a Dermatology Physician organization in Boardman, OH (NPI 1831187764).
Provider details
- NPI number
- 1831187764
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Bernat, Authorized Official(330) 965-8760
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Anatomic Pathology Physician207ZP0101X
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
21 documented practice locations
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
Other names (DBA / former)
- Former legal business name
- Advanced Dermatology and Skin Cancer Center LLC
- Former legal business name
- Advanced Dermatology and Skin Cancer Center LLC
Additional practice locations (20)
- 1010 W 2nd StBloomington, IN 47403-2217Phone: (812) 200-2458Fax: (930) 200-8590
- 2800 S State Road 135 Ste 250Greenwood, IN 46143-6223Phone: (317) 300-1788Fax: (317) 743-8103
- 824 Edwards DrPlainfield, IN 46168-2791Phone: (317) 406-3254Fax: (317) 406-3259
- 1100 Southfield Dr Ste 1240Plainfield, IN 46168-4499Phone: (317) 838-9911Fax: (317) 837-6080
- 6639 Whitestown PkwyZionsville, IN 46077-7622Phone: (317) 732-8980Fax: (317) 732-8979
- 29 Sebago RdRaymond, ME 04071-6823Phone: (207) 838-9073Fax: (207) 203-4875
- 71 US Route 1 Ste JScarborough, ME 04074-7168Phone: (207) 464-2712
- 1 Hampton Rd Unit A306Exeter, NH 03833-4848Phone: (603) 942-2171Fax: (603) 371-3104
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Frequently asked questions
- What is Optima Dermatology LLC's NPI number?
- Optima Dermatology LLC's National Provider Identifier (NPI) is 1831187764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optima Dermatology LLC?
- Optima Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Optima Dermatology LLC located?
- Optima Dermatology LLC's practice location on file with NPPES is 987 Boardman Canfield Rd, Boardman, OH 44512-4222.
- What is Optima Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Optima Dermatology LLC is (330) 965-8760.
- Does Optima Dermatology LLC accept Medicare?
- Optima Dermatology 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 Optima Dermatology LLC?
- The authorized official listed on Optima Dermatology LLC's NPPES record is John Bernat, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optima Dermatology LLC's NPI active?
- Yes — Optima Dermatology LLC's NPI (1831187764) is active in the NPPES registry as of the last update on 2024-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.