Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WASIM HAIDARI MD
NPI 1376172056
Dermatology in Vestavia Hls, AL

Q: What is Wasim Haidari's NPI number?

The NPI number for Wasim Haidari is 1376172056. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Q: What is Wasim Haidari's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wasim Haidari was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.

Active since April 05, 2020PECOS Enrolled

1940 STONEGATE DR STE 130, VESTAVIA HLS, AL 35242(205) 977-9876(334) 244-5033 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, May 21, 2026, Jul 8, 2024 and 1 more (4 updates tracked since 2020).

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About Wasim Haidari Md NPPES

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

WASIM HAIDARI MD (NPI 1376172056) is an individual dermatology provider in Vestavia Hls, Alabama, licensed in Alabama (49130) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colchester, and is a graduate of Georgetown University School Of Medicine (2020).

NPPES Registry Identity

NPI1376172056

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameWASIM HAIDARICredential: MD

Location Address1940 STONEGATE DR STE 130Vestavia Hls, AL 35242-2541

Mailing Address7300 Halcyon Summit DrMontgomery, AL 36117-3699 · (202) 444-5022 · Fax (334) 244-5033

Phone(205) 977-9876

Fax(334) 244-5033

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2020

Enumeration DateApril 5, 2020

Last NPPES UpdateOctober 26, 20264 updates tracked since enumeration

NPPES CertifiedOctober 26, 2026

✔ NPI 1376172056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in AL · 49130✔ Licensed in VA · 0101290047✔ Licensed in VT · 042.0040295

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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 0101290047 (VA), 042.0040295 (VT)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1940 STONEGATE DR STE 130, Vestavia Hls, AL 35242

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Secondary Practice Location 1

Location 1354 Mountain View Dr Ste 300Colchester, VT 05446-5988 · Phone (802) 864-0192 · Fax (802) 860-4919

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wasim Haidari Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062813785

PECOS Enrollment IDI20240718003700, I20260612002434

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Wasim Haidari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aqua Dermatology Of Alabama PC

Same address

MOHS-Micrographic Surgery

1940 STONEGATE DR STE 130
Vestavia Hls, AL 35242

Reassigned Medicare billing, Alabama enrollment
48 clinicians in this Medicare group

NPI 1477708642 (205) 977-9876

Integrated Dermatology Of Tidewater LLC

638 mi

Dermatology

885 KEMPSVILLE RD STE 309
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
6 clinicians in this Medicare group

NPI 1801238472 (757) 461-1033

Green Mountain Dermatology PLLC

1,050 mi

Dermatology

354 MOUNTAIN VIEW DR
Colchester, VT 05446

Reassigned Medicare billing, Vermont enrollment
9 clinicians in this Medicare group

NPI 1093577827 (802) 864-0192

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

395 services73 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

149 services132 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

101 services96 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

79 services77 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

65 services59 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

40 services38 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services26 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

22 services20 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

22 services21 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN A CAPPEL MD

Dermatology (Procedural Dermatology)