Skin PC
NPI 1821118613ActiveOrganization· Dermatology· Reston, VA
Dermatology in Reston, Virginia, registered in NPPES in March 2007. The authorized official on file is Colleen Rock, Billing Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821118613 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2007 |
| Last updated in NPPES | Sep 24, 2023 |
| Certified by provider | Oct 10, 2022 |
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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