Distinctive Dermatology PLLC
NPI 1386481109ActiveOrganization· Dermatology· Vienna, VA
Dermatology in Vienna, Virginia, registered in NPPES in July 2024. The authorized official on file is Amber Atwater, MD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386481109 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2024 |
| Last updated in NPPES | Jan 2, 2025 |
| Certified by provider | Jan 2, 2025 |
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 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 (DC) |
|---|
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