WESTPORT DERMATOLOGY
NPI 1063433969
Dermatology in Westport, CT
About Westport Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTPORT DERMATOLOGY (NPI 1063433969) is a healthcare organization registered as a dermatology in Westport, Connecticut and active in the NPI registry since July 2006. The organization lists Tanya Futoryan, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Westport Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Westport Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Advanced Dermatology & Laser Center, LLC's NPI number?
The NPI number for Advanced Dermatology & Laser Center, LLC is 1063433969. It was assigned to this organization in the NPPES registry on July 23, 2006. The provider is doing business as Westport Dermatology.
Where is Advanced Dermatology & Laser Center, LLC located?
Advanced Dermatology & Laser Center, LLC is located at 489 Post Road East, Westport, CT 06880. The listed phone number is (203) 226-3600.
What is Advanced Dermatology & Laser Center, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Advanced Dermatology & Laser Center, LLC enrolled in Medicare?
Yes. Advanced Dermatology & Laser Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Dermatology & Laser Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Advanced Dermatology & Laser Center, LLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Advanced Dermatology & Laser Center, LLC was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.