Individual provider Active NPI

Laura Archibald, M.D.

  • MOHS-Micrographic Surgery Physician
  • Leominster, MA
National Provider Identifier
1790348472
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
1023399 Issued in MA
Practice address
80 Erdman Way Ste 100
Leominster, MA 01453-1840
Phone
(978) 751-9280
Fax
(978) 627-3923
NPI assigned
Apr 17, 2019
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 1023399 MA Primary
Dermatology Physician 207N00000X 1023399 MA

Addresses

Primary practice location

80 Erdman Way Ste 100
Leominster, MA 01453-1840

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

Other names 1

  • Dr. Laura Joy Kooistra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709001057 MA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9537494679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Premier Dermatology PLLCGroup PAC ID 8325470974, 6 clinicians
Adult and Pediatric Dermatology PCGroup PAC ID 7012988306, 38 clinicians

Practice addresses (Care Compare)

372 Washington St
Wellesley, MA 02481-6202
Phone (781) 205-0770

80 Erdman Way
Leominster, MA 01453-1840
Phone (978) 371-7010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision63
Removal of skin lesions68
Removal of skin cancer228
Removal or shaving of skin growth1-10
Skin biopsy56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1023399MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Pediatric Dermatology, P.C. Dermatology CurrentSince Aug 25, 2025 Accepting new patients
Premier Dermatology, PLLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Apderm Massachusetts PC Dermatology Past Accepting new patients
Apderm North, PC Dermatology Past Accepting new patients

Locations

54 Baker Avenue Ext
Ste 305
Concord, MA 01742

80 Erdman Way
Leominster, MA 01453
Phone (978) 534-0230

80 Erdman Way
Ste 100
Leominster, MA 01453
Phone (978) 751-9280

372 Washington St
Ste 2
Wellesley, MA 02481
Phone (781) 205-0770

372 Washington St
Wellesley Hls, MA 02481
Phone (781) 235-5200

Interoperability endpoints

  • Direct secure messaging: laura.archilbald@forefrontdermatology.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1790348472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ERDMAN WAY STE 100",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531840",
            "telephone_number": "978-751-9280",
            "fax_number": "978-627-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "1023399",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1023399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KOOISTRA",
            "middle_name": "JOY",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.