ASPIRE DERMATOLOGY LLC — NPI 1700176849 (Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) in MIDDLETOWN, RI)

CMS-1500 Box 24J / 33a • NPI

1700176849

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207ND0101X (CMS 07)

Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)

Box 32 Service Location & ZIP+4

102 VALLEY RD, MIDDLETOWN, RI, 02842-5237

✓ 9-Digit EDI 837 ZIP+4 (02842-5237)

Practice Phone & Referral Fax

(401) 239-1800

Fax: (401) 239-1801

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700176849 (ASPIRE DERMATOLOGY LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700176849` (NPI-2 Organization / Facility)
Provider / Legal Name	ASPIRE DERMATOLOGY LLC
Plain-English Specialty	Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: `207ND0101X` (Dermatology, MOHS-Micrographic Surgery)
Certifying / Licensing Body	American Board of Dermatology (ABD)
Practice Location Address	102 VALLEY RD, MIDDLETOWN, RI, 02842-5237
Practice Telephone / Fax	Tel: (401) 239-1800 \| Fax: (401) 239-1801
Administrative Mailing Address	102 VALLEY RD, MIDDLETOWN, RI, 02842-5237
Enumeration & Last Sync	Enumerated: 2011-04-11 \| CMS Record Updated: 2021-11-04
Authorized Official	JASON MICHAELS (Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

102 VALLEY RD, MIDDLETOWN, RI, 02842-5237

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Plain-English Taxonomy & CMS Crosswalk (207ND0101X)

What Does Taxonomy Code 207ND0101X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ND0101X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 07 (Physician/Dermatology) • CMS Code D7 (Micrographic Dermatologic Surgery)
Certifying / Accrediting Authority: American Board of Dermatology (ABD)
Clinical Scope: Changing moles, skin rashes, severe acne, eczema, psoriasis, fungal infections, hair loss, or skin cancer checks.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASPIRE DERMATOLOGY LLC)

Typical CPT / Diagnostic Procedures:

Full-Body Dermoscopy & Skin Cancer Screening
Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)

Common Therapeutic Classes:

Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207ND0101X` — Dermatology, MOHS-Micrographic Surgery Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: RI \| License: `MD13562` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ASPIRE DERMATOLOGY LLC (NPI #1700176849)