Luxe Dermatology and Aesthetic Center, PLLC
NPI 1174186100ActiveOrganization· Dermatology· Mc Lean, VA
Dermatology in Mc Lean, Virginia, registered in NPPES in April 2019. The authorized official on file is Liza Moore, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174186100 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 16, 2019 |
| Last updated in NPPES | Mar 12, 2020 |
| Certified by provider | Mar 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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 (DC) |
|---|
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