NPI age
8 years
Enumerated 2017-12-26
● Active Type 2 · Organization
Treasure Valley Dermatology & Skin Cancer Center, Pllc
Treasure Valley Dermatology & Skin Cancer Center, Pllc is 1 of 102 dermatology organizations in Idaho.
Primary specialty
Dermatology
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Portela
President
Last NPPES update
2024-04-08
Source: monthly bulk 2026-05
How this organization compares
Across 102 active dermatology providers in Idaho.
NPI age
8 years
↓ 10 yr below median
Practice locations
3
2 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-12Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2535 E Fairview Ave
Meridian, ID 836428072
Mailing address
2535 E Fairview Ave
Meridian, ID 83642
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
999 N Curtis Rd Ste 307
Boise, ID 837061333
Location 3
404 E Elm St
Caldwell, ID 836054846
Authorized official
Dustin R Portela, DO
President
📞 2083518088
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Kelsey Ferrell, DO Dermatology NPI 1700311974
- Austin Lee, P.A. Physician Assistant NPI 1851769491
- Mariya Ostermiller, MPAS, PA-C Physician Assistant NPI 1407047202
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address. Plus 2 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.