INTEGRATED DERMATOLOGY OF CHEVY CHASE, LLC
NPI 1104374081
Dermatology - Dermatopathology in Chevy Chase, MD

NPI Status: Active since September 20, 2016

Contact Information

5530 WISCONSIN AVE STE 1418
CHEVY CHASE, MD
ZIP 20815
Phone: (301) 986-1880

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  • Organization
  • Dermatology
  • Dermatopathology
  • CLIA Number: 21D2121729
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-12-2025

About INTEGRATED DERMATOLOGY OF CHEVY CHASE, LLC

This page provides the complete NPI Profile along with additional information for Integrated Dermatology Of Chevy Chase, Llc, a provider established in Chevy Chase, Maryland operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1104374081 assigned on September 2016. The practitioner's primary taxonomy code is 207ND0900X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Adam S. Plotkin Md (Authorized Official)

NPI
1104374081
Provider Name
INTEGRATED DERMATOLOGY OF CHEVY CHASE, LLC
Entity Type
Organization
Location Address
5530 WISCONSIN AVE STE 1418 CHEVY CHASE, MD 20815
Location Phone
(301) 986-1880
Mailing Address
4700 EXCHANGE CT STE 110 BOCA RATON, FL 33431
Mailing Phone
(561) 314-2000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2016
Last Update Date
01-16-2019
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADAM S. PLOTKIN MD

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(561) 314-2000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2121729
Facility Type
Physician Office
Certificate Effective Date
December 13, 2023
Certificate Expiration Date
December 12, 2025
Laboratory Director
HYLAND E. CRONIN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Integrated Dermatology Of Chevy Chase, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104374081, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 6 + 7 + 8 + 0 + 1 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104374081.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dermatology
5530 WISCONSIN AVE STE 1418
CHEVY CHASE, MD 20815
Nurse Practitioner (Family)
5530 WISCONSIN AVE STE 1418
CHEVY CHASE, MD 20815
Physician Assistant (Medical)
5530 WISCONSIN AVE STE 1418
CHEVY CHASE, MD 20815
Physician Assistant
5530 WISCONSIN AVE STE 1418
CHEVY CHASE, MD 20815
Dermatology (MOHS-Micrographic Surgery)
5530 WISCONSIN AVE STE 1418
CHEVY CHASE, MD 20815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104374081, enumerated as an "organization" on September 20, 2016.

The provider is located at 5530 WISCONSIN AVE STE 1418 CHEVY CHASE, MD 20815 and the phone number is (301) 986-1880.

Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.