Integrated Dermatology of Shady Grove LLC
NPI 1649951781ActiveOrganization· Dermatology· Rockville, MD
Dermatology in Rockville, Maryland, registered in NPPES in July 2023. The authorized official on file is Jeffrey S. Fromowitz, MD, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649951781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2023 |
| Last updated in NPPES | Jul 31, 2023 |
| Certified by provider | Jul 31, 2023 |
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 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 (DC) |
|---|
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