MASSACHUSETTS DERMATOLOGY ASSOCIATES, P.C.
NPI 1396167763
Dermatology in Beverly, MA
About Massachusetts Dermatology Associates, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASSACHUSETTS DERMATOLOGY ASSOCIATES, P.C. (NPI 1396167763) is a healthcare organization registered as a dermatology in Beverly, Massachusetts and active in the NPI registry since January 2014. The organization lists Jordan Cummins, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Massachusetts Dermatology Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Massachusetts Dermatology Associates, P.C., which bills Medicare for the services they deliver. Of these, 13 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (18)
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 22D2074882
Massachusetts Dermatology Associates PC · Beverly, MAFrequently 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 Massachusetts Dermatology Associates, P.C.'s NPI number?
The NPI number for Massachusetts Dermatology Associates, P.C. is 1396167763. It was assigned to this organization in the NPPES registry on January 20, 2014.
Where is Massachusetts Dermatology Associates, P.C. located?
Massachusetts Dermatology Associates, P.C. is located at 900 Cummings Ctr Suite 311-T, Beverly, MA 01915. The listed phone number is (978) 225-3376.
What is Massachusetts Dermatology Associates, P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Massachusetts Dermatology Associates, P.C. enrolled in Medicare?
Yes. Massachusetts Dermatology Associates, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Massachusetts Dermatology Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 2 Medicare specialties reassign their Medicare billing to Massachusetts Dermatology Associates, P.C.. 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 Dermatology (17) and Pathology (1). Of these, 13 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Massachusetts Dermatology Associates, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list Massachusetts Dermatology Associates, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Massachusetts Dermatology Associates, P.C. was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Massachusetts Dermatology Associates, P.c. · NPI 1396167763
Dermatology organization in Beverly, Massachusetts. Organization record, active in the CMS NPPES registry since January 20, 2014.
## Identity
- **NPI:** 1396167763 (Entity type: Organization)
- **Enumerated:** January 20, 2014
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Jordan Cummins, PRESIDENT
## Practice location
- **Address:** 900 CUMMINGS CTR, SUITE 311-T, Beverly, MA 01915-6198
- **Phone:** (978) 225-3376
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (17), Pathology (1); 13 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396167763) · Data from the CMS NPPES public registry.