DAPHNE I PANAGOTACOS MD
NPI 1295999274
Dermatology - Dermatopathology in Westlake Village, CA
About Daphne I Panagotacos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAPHNE I PANAGOTACOS MD (NPI 1295999274) is a healthcare organization registered as a dermatopathology in Westlake Village, California and active in the NPI registry since July 2008. The organization holds a CLIA Certificate of Compliance certificate valid through February 4, 2028 and lists Debbie Ickes, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
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)
Daphne I Panagotacos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Daphne I Panagotacos MD, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Westlake Village, CA 91361
Westlake Village, CA 91361
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 05D0985281
Daphne Panagotacos MD · Westlake Village, CAFrequently 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 Daphne I Panagotacos MD's NPI number?
The NPI number for Daphne I Panagotacos MD is 1295999274. It was assigned to this organization in the NPPES registry on July 18, 2008.
Where is Daphne I Panagotacos MD located?
Daphne I Panagotacos MD is located at 32144 Agoura Rd Suite 106, Westlake Village, CA 91361. The listed phone number is (805) 379-3376.
What is Daphne I Panagotacos MD's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.
Is Daphne I Panagotacos MD enrolled in Medicare?
Yes. Daphne I Panagotacos MD is registered in the Medicare PECOS enrollment system.
When is Daphne I Panagotacos MD'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 (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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 Daphne I Panagotacos MD?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Daphne I Panagotacos MD. 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. The largest specialties are Nurse Practitioner (3) and Dermatology (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Daphne I Panagotacos MD hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D0985281) is associated with this NPI, valid through February 4, 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 Daphne I Panagotacos MD was last updated on July 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Daphne I Panagotacos Md · NPI 1295999274
Dermatopathology organization in Westlake Village, California. Organization record, active in the CMS NPPES registry since July 18, 2008.
## Identity
- **NPI:** 1295999274 (Entity type: Organization)
- **Enumerated:** July 18, 2008
- **Primary specialty:** Dermatology - Dermatopathology · taxonomy 207ND0900X
- **Organization subpart:** No
- **Authorized official:** Debbie Ickes, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 32144 AGOURA RD, SUITE 106, Westlake Village, CA 91361-4031
- **Phone:** (805) 379-3376 · **Fax:** (805) 379-3267
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Dermatology (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2012
- **Other identifiers:** Medicare UPIN F81669 (CA); Medicare PIN G66971 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295999274) · Data from the CMS NPPES public registry.