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DERMATOLOGY SPECIALISTS
NPI 1063524593
Dermatology in Newport News, VA

Active since August 31, 2006CLIA 49D0686618 · Certificate of Compliance
11844 ROCK LANDING DR STE B, NEWPORT NEWS, VA 23606(757) 873-0161(757) 873-0205 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2021, Jun 9, 2020, May 12, 2020 and 2 more (5 updates tracked since 2019).

About Dermatology Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY SPECIALISTS (NPI 1063524593) is a healthcare organization registered as a dermatology in Newport News, Virginia and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 24, 2027 and lists Allison Turkovich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063524593
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePENINSULA DERMATOLOGY SKIN CANCER SURGERY CENTER, INC
Location Address11844 ROCK LANDING DR STE BNewport News, VA 23606-4202
Mailing Address11844 Rock Landing Dr Ste BNewport News, VA 23606-4202 · (757) 873-0161 · Fax (757) 873-0205
Phone(757) 873-0161
Fax(757) 873-0205
Organization SubpartNo
Authorized OfficialAllison TurkovichAdministrator · (757) 873-0161
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 12, 20215 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
✔ NPI 1063524593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
11844 ROCK LANDING DR STE B, Newport News, VA 23606
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Other Names 1

Doing Business AsDermatology Specialists

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Dermatology Specialists, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology7
Micrographic Dermatologic Surgery (MDS)2
Nurse Practitioner1

Clinicians, nearest first (10)

Larry Evans, MD
Dermatology
NPI 1083682439
11844 ROCK LANDING DR STE B
Newport News, VA 23606
(757) 873-0161
✔ PECOS✔ Accepts MedicareSame address
Jennifer Ragi, MD
Dermatology
NPI 1851390660
11844 ROCK LANDING DR SUITE B
Newport News, VA 23606
(757) 873-0161
✔ PECOS✔ Accepts MedicareSame address
Donald Shenenberger, M.D.
Dermatology
NPI 1932168861
11844 ROCK LANDING DR SUITE B
Newport News, VA 23606
(757) 873-0161
✔ PECOS✔ Accepts MedicareSame address
Allison Britt Kimmins, MD
Dermatology
NPI 1437230695
11844 ROCK LANDING DR STE B
Newport News, VA 23606
(757) 873-0161
✔ PECOS✔ Accepts MedicareSame address
Jason Mazzurco, DO
Micrographic Dermatologic Surgery (MDS)
NPI 1720285190
11844 ROCK LANDING DR STE B
Newport News, VA 23606
(757) 873-0161
✔ PECOS✔ Accepts MedicareSame address
Stephanie Castillo, MD
Dermatology
NPI 1487115176
2240 COLISEUM DR STE D
Hampton, VA 23666
(888) 321-7170
✔ PECOS✔ Accepts Medicare5.1 mi
Emily Himes, M.D.
Dermatology
NPI 1417272006
475 MCLAWS CIR STE 1
Williamsburg, VA 23185
(757) 259-9466
✔ PECOS✔ Accepts Medicare15 mi
Carla Evans, FNP
Nurse Practitioner
NPI 1073869210
1601 COMMONWEALTH AVE
Williamsburg, VA 23185
(757) 259-9466
✔ PECOS✔ Accepts Medicare15 mi
Zantha Marcuson, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1174626600
1601 COMMONWEALTH AVE
Williamsburg, VA 23185
(757) 259-9466
✔ PECOS✔ Accepts Medicare15 mi
Joselin Tacastacas, MD
Dermatology
NPI 1184673295
1601 COMMONWEALTH AVE
Williamsburg, VA 23185
(757) 259-9466
✔ PECOS✔ Accepts Medicare15 mi

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 49D0686618

Peninsula Dermatology Skin Cancer Surgery Center · Newport News, VA
Active · expires Aug 24, 2027
CLIA Number49D0686618
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorJason D. Mazzurco
Laboratory Phone(757) 873-0161
Laboratory LocationPeninsula Dermatology Skin Cancer Surgery Center11844 Rock Landing Drive - Suite B, Newport News, VA 23606
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Peninsula Dermatology Skin Cancer Surgery Center, Inc's NPI number?

The NPI number for Peninsula Dermatology Skin Cancer Surgery Center, Inc is 1063524593. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Dermatology Specialists.

Where is Peninsula Dermatology Skin Cancer Surgery Center, Inc located?

Peninsula Dermatology Skin Cancer Surgery Center, Inc is located at 11844 Rock Landing Dr Ste B, Newport News, VA 23606. The listed phone number is (757) 873-0161.

What is Peninsula Dermatology Skin Cancer Surgery Center, Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Peninsula Dermatology Skin Cancer Surgery Center, Inc enrolled in Medicare?

Yes. Peninsula Dermatology Skin Cancer Surgery Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Dermatology Skin Cancer Surgery Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Peninsula Dermatology Skin Cancer Surgery Center, Inc. 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 (7), Micrographic Dermatologic Surgery (MDS) (2) and Nurse Practitioner (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peninsula Dermatology Skin Cancer Surgery Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D0686618) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peninsula Dermatology Skin Cancer Surgery Center, Inc was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.