WORCESTER DERMATOLOGY ASSOCIATES, P.C.
NPI 1144211681
Specialist in Worcester, MA
About Worcester Dermatology Associates, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WORCESTER DERMATOLOGY ASSOCIATES, P.C. (NPI 1144211681) is a healthcare organization registered as a specialist in Worcester, Massachusetts and active in the NPI registry since November 2005. The organization lists Lori Kixmiller, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Worcester Dermatology Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Worcester Dermatology Associates, P.C., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Worcester Dermatology Associates, P.C.'s NPI number?
The NPI number for Worcester Dermatology Associates, P.C. is 1144211681. It was assigned to this organization in the NPPES registry on November 3, 2005.
Where is Worcester Dermatology Associates, P.C. located?
Worcester Dermatology Associates, P.C. is located at 100 Central St, Worcester, MA 01608. The listed phone number is (508) 754-3823.
What is Worcester Dermatology Associates, P.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Worcester Dermatology Associates, P.C. enrolled in Medicare?
Yes. Worcester Dermatology Associates, P.C. is registered in the Medicare PECOS enrollment system.
When is Worcester Dermatology Associates, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Worcester Dermatology Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Worcester Dermatology Associates, P.C., in Dermatology and Nurse Practitioner. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Worcester Dermatology Associates, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list Worcester Dermatology Associates, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Worcester Dermatology Associates, P.C. was last updated on February 13, 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.
# Worcester Dermatology Associates, P.c. · NPI 1144211681
Specialist organization in Worcester, Massachusetts. Organization record, active in the CMS NPPES registry since November 3, 2005.
## Identity
- **NPI:** 1144211681 (Entity type: Organization)
- **Enumerated:** November 3, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Lori Kixmiller, OFFICE MANAGER
## Practice location
- **Address:** 100 CENTRAL ST, Worcester, MA 01608-1209
- **Phone:** (508) 754-3823 · **Fax:** (508) 753-0151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Massachusetts, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Dermatology (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2021
- **Other identifiers:** Medicaid 9700340 (MA); Other M17485 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1144211681) · Data from the CMS NPPES public registry.