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NPI · 1104068790 · NPPES-sourced

Aesthetic Dermatology And Dermatologic Surgery Center

ActiveSpecialist
NPI Number
1104068790
Type 2 · Organisation
Taxonomy Code
174400000X
Contact
(301) 809-4321
License MD · D0051777
Last Updated
Enumerated
Primary practice addressMD · 20716
4321 Collington Rd, Suite 230Bowie, MD 20716
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About this NPIWhat this record shows.

NPI 1104068790 is registered to Aesthetic Dermatology And Dermatologic Surgery Center, a healthcare organisation classified as "Specialist" and located at 4321 Collington Rd, Suite 230 in Bowie, Maryland. The organisation's authorised official is Debra Coats-Walton. The organisation has been enumerated in the NPI registry since 2009.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Aesthetic Dermatology And Dermatologic Surgery Center accepts. To confirm in-network status with your specific health plan, contact Aesthetic Dermatology And Dermatologic Surgery Center directly at (301) 809-4321.

Frequently asked

Yes. NPI 1104068790 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (301) 809-4321.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Aesthetic Dermatology And Dermatologic Surgery Center is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy174400000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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1 record · same addressOther providers at this location.

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Same specialtyOther Specialist providers in Maryland.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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