Commonwealth Dermatology, PC
NPI 1013091115ActiveOrganization· Dermatology· Richmond, VA
Dermatology in Richmond, Virginia, registered in NPPES in October 2006. The authorized official on file is Hazle Konerding, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013091115 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Sep 3, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 0101026447 | VA |
| Dermatology | 207N00000X | 0101233942 | VA |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 0101238054 | VA |
| Dermatology, Pediatric Dermatology | 207NP0225X | 0101053332 | VA |
| Dermatology, Pediatric Dermatology | 207NP0225X | 0101044250 | VA |
| Nurse Practitioner, Acute Care | 363LA2100X | 0017137835 | VA |
| Nurse Practitioner, Family | 363LF0000X | 0017138217 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
Other Dermatology providers in Richmond
- 1194846386
- 1316952716
- 1376967497
- 1104077056
- 1972773745
- 1013730084
- 1275791105
- 1952338303
- 1366631038
- 1740280379
- 1811526379
- 1467009654