Active NPI
Laura Archibald, M.D.
- MOHS-Micrographic Surgery Physician
- Leominster, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 1023399
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 63 |
| Removal of skin lesions | 68 |
| Removal of skin cancer | 228 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023399 | MA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult & Pediatric Dermatology, P.C. | Dermatology | Current | Accepting new patients |
| Premier Dermatology, PLLC | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Concord, MA
- NPI 1285614834
-
- Dermatology Physician
- Wellesley, MA
- NPI 1669028353
-
- Dermatology Physician
- Concord, MA
- NPI 1679138879
-
- Dermatology Physician
- Westford, MA
- NPI 1942508379
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.