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COMMONWEALTH DERMATOLOGY PLLC
NPI 1205405834
Dermatology in Worcester, MA

Active since June 18, 2021CLIA 22D2242874 · Certificate of Compliance
100 MLK JR BLVD STE 200, WORCESTER, MA 01608(774) 389-0887 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Commonwealth Dermatology Pllc NPPES

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

COMMONWEALTH DERMATOLOGY PLLC (NPI 1205405834) is a healthcare organization registered as a dermatology in Worcester, Massachusetts and active in the NPI registry since June 2021. The organization holds a CLIA Certificate of Compliance certificate valid through July 21, 2028 and lists Sadaf Waqar, Owner, as its authorized official.

NPPES Registry Identity

NPI1205405834
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOMMONWEALTH DERMATOLOGY PLLC
Location Address100 MLK JR BLVD STE 200Worcester, MA 01608-1209
Mailing Address100 Mlk Jr Blvd Ste 200Worcester, MA 01608-1209 · (774) 389-0887
Phone(774) 389-0887
Organization SubpartNo
Authorized OfficialSadaf WaqarOwner · (561) 654-1789
Enumeration DateJune 18, 2021
NPPES CertifiedJune 18, 2021
✔ NPI 1205405834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
100 MLK JR BLVD STE 200, Worcester, MA 01608
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 22D2242874

Commonwealth Dermatology PLLC · Worcester, MA
Active · expires Jul 21, 2028
CLIA Number22D2242874
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorSadaf Waqar
Laboratory Phone(774) 389-0887
Laboratory LocationCommonwealth Dermatology PLLC100 Mlk Jr Blvd Ste 200, Worcester, MA 01608
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINE PERRY NP
Registered Nurse
100 MLK JR BLVD STE 200
WORCESTER, MA 01608
Worcester County (774) 389-0887
MRS. HAYLEY ANNE KOCH FNP-BC
Registered Nurse
100 MLK JR BLVD STE 200
WORCESTER, MA 01608
Worcester County (508) 389-0887

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 Commonwealth Dermatology PLLC's NPI number?

The NPI number for Commonwealth Dermatology PLLC is 1205405834. It was assigned to this organization in the NPPES registry on June 18, 2021.

Where is Commonwealth Dermatology PLLC located?

Commonwealth Dermatology PLLC is located at 100 Mlk Jr Blvd Ste 200, Worcester, MA 01608. The listed phone number is (774) 389-0887.

What is Commonwealth Dermatology PLLC's specialty?

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

Does Commonwealth Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D2242874) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Commonwealth Dermatology PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Commonwealth Dermatology PLLC 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 Commonwealth Dermatology PLLC was last updated on June 18, 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.