Delmarva Skin PA
NPI 1255818522ActiveOrganization· Dermatology· Selbyville, DE
Dermatology in Selbyville, Delaware, registered in NPPES in July 2018. The authorized official on file is Sara Moghaddam, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255818522 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2018 |
| Last updated in NPPES | Nov 29, 2023 |
| Certified by provider | Nov 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | C1-0011369 | DE |
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 (DE) |
|---|
Other Dermatology providers in Selbyville
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- 1013203462