Calyx Dermatology LLC
NPI 1003657198ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Albuquerque, NM
Dermatology, MOHS-Micrographic Surgery in Albuquerque, New Mexico, registered in NPPES in June 2024. The authorized official on file is Catherine Tchanque-Fossuo, MD, MS, FAAD, Dermatologist/Mohs Surgeon. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003657198 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2024 |
| Last updated in NPPES | Jul 25, 2024 |
| Certified by provider | Jul 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | — | — |
| Dermatology | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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