CARROLL DERMATOLOGY ASSOCIATES, LLC
NPI 1366687394
Dermatology in Westminster, MD
About Carroll Dermatology Associates, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARROLL DERMATOLOGY ASSOCIATES, LLC (NPI 1366687394) is a healthcare organization registered as a dermatology in Westminster, Maryland and active in the NPI registry since December 2008. The organization holds a CLIA Certificate of Compliance certificate valid through August 12, 2027 and lists Joel Eric Max, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Carroll Dermatology Associates, Llc 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carroll Dermatology Associates, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 21D1097477
Carroll Dermatology Associates · Westminster, MDFrequently 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 Carroll Dermatology Associates, LLC's NPI number?
The NPI number for Carroll Dermatology Associates, LLC is 1366687394. It was assigned to this organization in the NPPES registry on December 4, 2008.
Where is Carroll Dermatology Associates, LLC located?
Carroll Dermatology Associates, LLC is located at 826 Washington Rd Suite 122, Westminster, MD 21157. The listed phone number is (410) 252-8557.
What is Carroll Dermatology Associates, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Carroll Dermatology Associates, LLC enrolled in Medicare?
Yes. Carroll Dermatology Associates, LLC is registered in the Medicare PECOS enrollment system.
When is Carroll Dermatology Associates, LLC'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 (Maryland, 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 Carroll Dermatology Associates, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Carroll Dermatology Associates, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carroll Dermatology Associates, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 21D1097477) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Carroll Dermatology Associates, LLC was last updated on March 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Carroll Dermatology Associates, Llc · NPI 1366687394
Dermatology organization in Westminster, Maryland. Organization record, active in the CMS NPPES registry since December 4, 2008.
## Identity
- **NPI:** 1366687394 (Entity type: Organization)
- **Enumerated:** December 4, 2008
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Joel Max, MANAGING MEMBER
## Practice location
- **Address:** 826 WASHINGTON RD, SUITE 122, Westminster, MD 21157-5750
- **Phone:** (410) 252-8557 · **Fax:** (410) 252-8557
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366687394) · Data from the CMS NPPES public registry.