Worcester Dermatology Associates, P.C.
NPI 1144211681ActiveOrganization· Specialist· Worcester, MA
Specialist in Worcester, Massachusetts, registered in NPPES in November 2005. The authorized official on file is Lori Kixmiller, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144211681 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2005 |
| Last updated in NPPES | Feb 13, 2021 |
| Certified by provider | Jan 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 75849 | MA |
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 (MA) |
|---|
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