Coastal Dermatology P.C.
NPI 1730405879ActiveOrganization· Dermatology· Virginia Beach, VA
Dermatology in Virginia Beach, Virginia, registered in NPPES in April 2010. The authorized official on file is Kimberly Diane Ingram Soderberg, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730405879 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 14, 2010 |
| Last updated in NPPES | Apr 14, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 0101241129 | VA |
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 (VA) |
|---|
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