COMMONWEALTH DERMATOLOGY, PC
NPI 1013091115
Dermatology in Richmond, VA
About Commonwealth Dermatology, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMONWEALTH DERMATOLOGY, PC (NPI 1013091115) is a healthcare organization registered as a dermatology in Richmond, Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 22, 2028 and lists Hazle Konerding, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Commonwealth Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Commonwealth Dermatology, PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 49D0227250
Commonwealth Dermatology · Richmond, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Commonwealth Dermatology, PC's NPI number?
The NPI number for Commonwealth Dermatology, PC is 1013091115. It was assigned to this organization in the NPPES registry on October 25, 2006.
Where is Commonwealth Dermatology, PC located?
Commonwealth Dermatology, PC is located at 7001 Forest Ave Ste. 400, Richmond, VA 23230. The listed phone number is (804) 282-0831.
What is Commonwealth Dermatology, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Commonwealth Dermatology, PC enrolled in Medicare?
Yes. Commonwealth Dermatology, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Commonwealth Dermatology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Commonwealth Dermatology, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (9) and Nurse Practitioner (3). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Commonwealth Dermatology, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 49D0227250) is associated with this NPI, valid through January 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Commonwealth Dermatology, PC was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Commonwealth Dermatology, Pc · NPI 1013091115
Dermatology organization in Richmond, Virginia. Organization record, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1013091115 (Entity type: Organization)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Hazle Konerding, PRESIDENT
## Practice location
- **Address:** 7001 FOREST AVE, STE. 400, Richmond, VA 23230-1726
- **Phone:** (804) 282-0831 · **Fax:** (804) 288-7135
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (9), Nurse Practitioner (3); 8 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2014
- **Other identifiers:** Medicare ID-Type Unspecified C05739 (VA); Other 3118456 (VA); Other 057917 (VA); and 1 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1013091115) · Data from the CMS NPPES public registry.