Organization Active NPI

My Skin Clinics PLC

  • Surgery Physician
  • Spirit Lake, IA
National Provider Identifier
1407992373
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24582 Issued in IA
Legal business name
MY SKIN CLINICS PLC
Practice address
3301 Highway 71 Ste 1
Spirit Lake, IA 51360-7634
Phone
(712) 332-6001
Fax
(712) 332-6010
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald J Kolegraff, MDNPI 1891757878
Title
Owner and Provider
Phone
(712) 332-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X 24582 IA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 24582 IA Primary

Addresses

Primary practice location

3301 Highway 71 Ste 1
Spirit Lake, IA 51360-7634

Mailing address

3301 Highway 71 Ste 1
Spirit Lake, IA 51360-7634
Phone (712) 332-6001

Other identifiers 2

IdentifierTypeStateIssuer
DO5034OtherIARAILROAD MEDICARE
0746875MedicaidIA

Other names 1

  • Rebe Skin and Vein Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000623 IA Part B Supplier - Clinic/Group Practice 0244333532 Receives reassigned benefits from 3 practitioners
Practice locations: Spirit Lake, IA

National Provider Directory

National Provider Directory

Locations

1008 Eastview Ave
Unit 68
Okoboji, IA 51355
Phone (712) 332-6001

1008 Eastview Ave
Okoboji, IA 51355
Phone (605) 332-6001

1008 Eastview Ave
Ste 8
Okoboji, IA 51355
Phone (712) 332-6001

3301 Highway 71
Unit 14
Spirit Lake, IA 51360
Phone (712) 332-6001

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1407992373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 HIGHWAY 71 STE 1",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607634",
            "telephone_number": "712-332-6001",
            "fax_number": "712-332-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HIGHWAY 71 STE 1",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607634",
            "telephone_number": "712-332-6001",
            "fax_number": "712-332-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SKIN CLINICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "KOLEGRAFF",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "712-332-6001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "IA",
            "license": "24582",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": "24582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO5034",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0746875",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebe Skin and Vein Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rebe Skin and Vein Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.