Legacy Dermatology, PLLC
NPI 1134588148ActiveOrganization· Dermatology· Frisco, TX
Dermatology in Frisco, Texas, registered in NPPES in February 2016. The authorized official on file is Jennifer Warner Dharamsi, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134588148 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2016 |
| Last updated in NPPES | Mar 25, 2022 |
| Certified by provider | Mar 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | P2228 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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