Sound Dermatology & Skin Surgery PLLC
NPI 1538386990ActiveOrganization· Preferred Provider Organization· Redmond, WA
Preferred Provider Organization in Redmond, Washington, registered in NPPES in April 2007. The authorized official on file is James H. Petrin, MD, Physician/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538386990 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2007 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | MD00035810 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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