Aesthetic Dermatology and Mohs Surgery, LLC
NPI 1477337640ActiveOrganization· Dermatology· Fairfax, VA
Dermatology in Fairfax, Virginia, registered in NPPES in August 2023. The authorized official on file is Adam Jon Tinklepaugh, MD, Dermatologist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477337640 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2023 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
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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