Lakes Dermatology, PA
NPI 1962871608 · Dermatology Physician · Burnsville, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakes Dermatology, PA is a Dermatology Physician organization in Burnsville, MN (NPI 1962871608).
Provider details
- NPI number
- 1962871608
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rehana Ahmed-Saucedo, Dermatologist, President(612) 387-4627
- License
- 51837 (MN)
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
10 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
- 2015-09-23
- Last updated
- 2015-09-23
Frequently asked questions
- What is Lakes Dermatology, PA's NPI number?
- Lakes Dermatology, PA's National Provider Identifier (NPI) is 1962871608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakes Dermatology, PA?
- Lakes Dermatology, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lakes Dermatology, PA located?
- Lakes Dermatology, PA's practice location on file with NPPES is 14305 Southcross Dr W, Burnsville, MN 55306-7009.
- What is Lakes Dermatology, PA's phone number?
- The practice phone number listed in the NPPES registry for Lakes Dermatology, PA is (612) 387-4627.
- Does Lakes Dermatology, PA accept Medicare?
- Lakes Dermatology, PA 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 Lakes Dermatology, PA?
- The authorized official listed on Lakes Dermatology, PA's NPPES record is Rehana Ahmed-Saucedo, Dermatologist, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakes Dermatology, PA's NPI active?
- Yes — Lakes Dermatology, PA's NPI (1962871608) is active in the NPPES registry as of the last update on 2015-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.