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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AESTHETIC DERMATOLOGY & SURGERY CLINIQUE, INC
NPI 1194846386
Dermatology in Richmond, VA

Active since April 03, 2007CLIA 49D1094228 · Waiver
3811 GASKINS RD, RICHMOND, VA 23233(804) 270-6100(804) 270-4746 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aesthetic Dermatology & Surgery Clinique, Inc NPPES

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

AESTHETIC DERMATOLOGY & SURGERY CLINIQUE, INC (NPI 1194846386), doing business as West End Dermatology Associates, is a healthcare organization registered as a dermatology in Richmond, Virginia and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Gilmar Tadioto, Manager, as its authorized official.

NPPES Registry Identity

NPI1194846386
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAESTHETIC DERMATOLOGY & SURGERY CLINIQUE, INC
Location Address3811 GASKINS RDRichmond, VA 23233-1436
Mailing Address3811 Gaskins RdRichmond, VA 23233-1436 · (804) 270-6100 · Fax (804) 270-4746
Phone(804) 270-6100
Fax(804) 270-4746
Organization SubpartNo
Authorized OfficialGilmar TadiotoManager · (407) 529-5901
Enumeration DateApril 3, 2007
Last NPPES UpdateSeptember 16, 2026
NPPES CertifiedSeptember 16, 2026
✔ NPI 1194846386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in VA · 010132257
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.
3811 GASKINS RD, Richmond, VA 23233
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Other Names 1

Doing Business AsWest End Dermatology Associates

Group Practice 1

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aesthetic Dermatology & Surgery Clinique, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 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.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20040901000511Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Aesthetic Dermatology & Surgery Clinique, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yvonne Knight, MD
Dermatology
NPI 1477558682
3811 GASKINS RD
Richmond, VA 23233
(804) 270-6100
✔ PECOS✔ Accepts MedicareSame address

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 Waiver 49D1094228

West End Dermatology Associates · Richmond, VA
Active · expires Jul 23, 2027
CLIA Number49D1094228
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorYvonne Knight, MD
Laboratory Phone(804) 270-6100
Laboratory LocationWest End Dermatology Associates3811 Gaskins Road, Richmond, VA 23233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Aesthetic Dermatology & Surgery Clinique, Inc's NPI number?

The NPI number for Aesthetic Dermatology & Surgery Clinique, Inc is 1194846386. It was assigned to this organization in the NPPES registry on April 3, 2007. The provider is doing business as West End Dermatology Associates.

Where is Aesthetic Dermatology & Surgery Clinique, Inc located?

Aesthetic Dermatology & Surgery Clinique, Inc is located at 3811 Gaskins Rd, Richmond, VA 23233. The listed phone number is (804) 270-6100.

What is Aesthetic Dermatology & Surgery Clinique, Inc's specialty?

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

Is Aesthetic Dermatology & Surgery Clinique, Inc enrolled in Medicare?

Yes. Aesthetic Dermatology & Surgery Clinique, Inc is registered in the Medicare PECOS enrollment system.

When is Aesthetic Dermatology & Surgery Clinique, Inc'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 (Virginia, Clinic/Group Practice) is due for revalidation by December 31, 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 Aesthetic Dermatology & Surgery Clinique, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Aesthetic Dermatology & Surgery Clinique, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Aesthetic Dermatology & Surgery Clinique, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1094228) is associated with this NPI, valid through July 23, 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 Aesthetic Dermatology & Surgery Clinique, Inc was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.