Pratt Med/Surg Dermatology Associates Inc
NPI 1528012176ActiveOrganization· Dermatology· Boston, MA
Dermatology in Boston, Massachusetts, registered in NPPES in May 2006. The authorized official on file is Edward Gallegos, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528012176 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Apr 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| 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 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 (MA) |
|---|
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