Modern Dermatology of Massachusetts, PLLC
NPI 1831964915ActiveOrganization· Dermatology· Fall River, MA
Dermatology in Fall River, Massachusetts, registered in NPPES in November 2023. The authorized official on file is Erik Domingues, MD, Dermatologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831964915 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2023 |
| Last updated in NPPES | Jan 20, 2024 |
| Certified by provider | Jan 20, 2024 |
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 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 (MA) |
|---|
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