Mod Dermatology PC
NPI 1982105425 · Dermatology Physician · Omaha, NE
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mod Dermatology PC is a Dermatology Physician organization in Omaha, NE (NPI 1982105425).
Provider details
- NPI number
- 1982105425
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alaina Patera, Practice Manager(402) 505-8777
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Additional practice locations (1)
- 1106 E 18th StFremont, NE 68025-3224Phone: (402) 505-8777Fax: (402) 933-7767
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2023-01-20
- Certified
- 2023-01-20
Frequently asked questions
- What is Mod Dermatology PC's NPI number?
- Mod Dermatology PC's National Provider Identifier (NPI) is 1982105425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mod Dermatology PC?
- Mod Dermatology PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mod Dermatology PC located?
- Mod Dermatology PC's practice location on file with NPPES is 16910 Frances St, Omaha, NE 68130-2398.
- What is Mod Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Mod Dermatology PC is (402) 505-8777.
- Does Mod Dermatology PC accept Medicare?
- Mod Dermatology PC 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 Mod Dermatology PC?
- The authorized official listed on Mod Dermatology PC's NPPES record is Alaina Patera, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mod Dermatology PC's NPI active?
- Yes — Mod Dermatology PC's NPI (1982105425) is active in the NPPES registry as of the last update on 2023-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.