DOCKSIDE DERMATOLOGY LLC
NPI 1194479972
Dermatology in Millersville, MD
About Dockside Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOCKSIDE DERMATOLOGY LLC (NPI 1194479972) is a healthcare organization registered as a dermatology in Millersville, Maryland and active in the NPI registry since February 2022. The organization holds a CLIA Certificate of Compliance certificate valid through September 14, 2027 and lists Lesley Sutherland, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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)
Dockside Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Dockside Dermatology LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. 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.
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 21D2272601
Dockside Dermatology LLC · Millersville, MDFrequently 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 Dockside Dermatology LLC's NPI number?
The NPI number for Dockside Dermatology LLC is 1194479972. It was assigned to this organization in the NPPES registry on February 9, 2022.
Where is Dockside Dermatology LLC located?
Dockside Dermatology LLC is located at 8601 Veterans Hwy Ste 201, Millersville, MD 21108. The listed phone number is (410) 934-5400.
What is Dockside Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dockside Dermatology LLC enrolled in Medicare?
Yes. Dockside Dermatology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dockside Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Dockside Dermatology 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dockside Dermatology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 21D2272601) is associated with this NPI, valid through September 14, 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 Dockside Dermatology LLC was last updated on March 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.