POTOMAC DERMATOLOGY AND SKINCARE CENTER
NPI 1215685896
Dermatology in Potomac, MD

Active since March 14, 2022CLIA 21D2271342 · Waiver
9812 FALLS RD STE 124, POTOMAC, MD 20854(703) 356-1111 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Potomac Dermatology And Skincare Center NPPES

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

POTOMAC DERMATOLOGY AND SKINCARE CENTER (NPI 1215685896) is a healthcare organization registered as a dermatology in Potomac, Maryland and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Lily Talakoub, Owner, as its authorized official.

NPPES Registry Identity

NPI1215685896
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePOTOMAC DERMATOLOGY AND SKINCARE CENTER
Location Address9812 FALLS RD STE 124Potomac, MD 20854-3976
Mailing Address6849 Old Dominion Dr Ste 450Mc Lean, VA 22101-3718 · (703) 626-3648
Organization SubpartNo
Authorized OfficialLily TalakoubOwner · (703) 626-3648
Enumeration DateMarch 14, 2022
Last NPPES UpdateApril 22, 2022
NPPES CertifiedApril 22, 2022
NPI 1215685896 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.

9812 FALLS RD STE 124, Potomac, MD 20854

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

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 21D2271342

Potomac Dermatology And Skincare Center · Potomac, MD
Active · expires Oct 31, 2026
CLIA Number21D2271342
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorLily Talakoub
Laboratory Phone(703) 356-5111
Laboratory LocationPotomac Dermatology And Skincare Center9812 Falls Road Suite 124, Potomac, MD 20854
CLIA data matches this NPI record on: Address Name
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 Potomac Dermatology And Skincare Center's NPI number?

The NPI number for Potomac Dermatology And Skincare Center is 1215685896. It was assigned to this organization in the NPPES registry on March 14, 2022.

Where is Potomac Dermatology And Skincare Center located?

Potomac Dermatology And Skincare Center is located at 9812 Falls Rd Ste 124, Potomac, MD 20854. The listed phone number is (703) 356-1111.

What is Potomac Dermatology And Skincare Center's specialty?

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

Does Potomac Dermatology And Skincare Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2271342) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Potomac Dermatology And Skincare Center was last updated on April 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.