Mary Beth Gadarowski, MD
NPI 1619501293ActiveIndividual· Dermatology· Keesler Afb, MS
Dermatology (MD) in Keesler Afb, Mississippi, trained at State University of Ny Upstate Medical University (class of 2020). Enrolled in Medicare as practitioner - dermatology.
Overview
| NPI | 1619501293 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 23, 2020 |
| Last updated in NPPES | Jul 19, 2025 |
| Certified by provider | Jul 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 0101273030 | VA |
| General Practice | 208D00000X | 0101273030 | VA |
| Military Health Care Provider | 171000000X | — | — |
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 Practitioner - Dermatology (MS) |
|---|
Education and affiliations
| Medical school | State University of Ny Upstate Medical University |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Dermatology |
Medical group
- The Dermatology Clinic, PLLCGulfport, MS · 8 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dermatology providers in Keesler Afb
- 1639343312