CALVERT DERMATOLOGY, LLC
NPI 1295875763
Dermatology in Prince Frederick, MD

Active since February 07, 2007CLIA 21D1107685 · Certificate of Compliance
125 STOAKLEY ROAD, SUITE 300, PRINCE FREDERICK, MD 20678(410) 535-4561(410) 535-9941 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, Dec 2, 2025 (2 updates tracked since 2025).

About Calvert Dermatology, Llc NPPES

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

CALVERT DERMATOLOGY, LLC (NPI 1295875763) is a healthcare organization registered as a dermatology in Prince Frederick, Maryland and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 6, 2028 and lists Faris Hawit, Resident Member, as its authorized official.

NPPES Registry Identity

NPI1295875763
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCALVERT DERMATOLOGY, LLC
Location Address125 STOAKLEY ROAD, SUITE 300Prince Frederick, MD 20678
Mailing AddressPo Box 1540Prince Frederick, MD 20678-1540 · (410) 535-4561
Fax(410) 535-9941
Organization SubpartNo
Authorized OfficialFaris HawitResident Member · (202) 253-4401
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1295875763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MD · D61859
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.
125 STOAKLEY ROAD, Prince Frederick, MD 20678

Other Identifiers 1

Medicaid412713700MD

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Calvert Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Calvert 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)

Dermatology
NPI 1346380896
125 STOAKLEY ROAD SUITE 300
Prince Frederick, MD 20678
(410) 535-4561
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427059559
125 STOAKLEY ROAD SUITE 300
Prince Frederick, MD 20678
(410) 535-4561
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366900235
125 STOAKLEY RD STE 300
Prince Frederick, MD 20678
(410) 535-4561
✔ 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 Compliance 21D1107685

Calvert Dermatology LLC · Prince Frederick, MD
Active · expires May 6, 2028
CLIA Number21D1107685
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorFaris I. Hawit MD
Laboratory Phone(410) 535-4561
Laboratory LocationCalvert Dermatology LLC125 Stoakley Road Suite 100, Prince Frederick, MD 20678
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.

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 Calvert Dermatology, LLC's NPI number?

The NPI number for Calvert Dermatology, LLC is 1295875763. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Calvert Dermatology, LLC located?

Calvert Dermatology, LLC is located at 125 Stoakley Road Suite 300, Prince Frederick, MD 20678. The listed phone number is (410) 535-4561.

What is Calvert Dermatology, LLC's specialty?

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

Is Calvert Dermatology, LLC enrolled in Medicare?

Yes. Calvert Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Calvert Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Calvert Dermatology, LLC, 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Calvert Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D1107685) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Calvert Dermatology, LLC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.