COMMONWEALTH DERMATOLOGY PLLC
NPI 1205405834
Dermatology in Worcester, MA
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Commonwealth Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Commonwealth Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 22D2242874
Commonwealth Dermatology PLLC · Worcester, MAFrequently 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.
Is Commonwealth Dermatology PLLC enrolled in Medicare?
Yes. Commonwealth Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Commonwealth Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Commonwealth Dermatology PLLC, 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Commonwealth Dermatology Pllc · NPI 1205405834
Dermatology organization in Worcester, Massachusetts. Organization record, active in the CMS NPPES registry since June 18, 2021.
## Identity
- **NPI:** 1205405834 (Entity type: Organization)
- **Enumerated:** June 18, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Sadaf Waqar, OWNER
## Practice location
- **Address:** 100 MLK JR BLVD STE 200, Worcester, MA 01608-1209
- **Phone:** (774) 389-0887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205405834) · Data from the CMS NPPES public registry.