Advanced Dermatology of Maryland PC
NPI 1386479004ActiveOrganization· Dermatology· Fort Washington, MD
Dermatology in Fort Washington, Maryland, registered in NPPES in September 2024, part of Advanced Dermatology of Maryland PC. The authorized official on file is Matt Louis Leavitt, DO, Owner.
Overview
| NPI | 1386479004 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Dermatology of Maryland PC |
| NPI issued | Sep 3, 2024 |
| Last updated in NPPES | Sep 3, 2024 |
| Certified by provider | Sep 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Fort Washington
- 1043452089
- 1053460568
- 1710056692