WESLEY CHAPEL DERMATOLOGY LLC
NPI 1407249998
Dermatology in Wesley Chapel, FL

Active since March 09, 2015
2336 CRESTOVER LN STE 101, WESLEY CHAPEL, FL 33544(813) 606-4144(813) 666-1508 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wesley Chapel Dermatology Llc NPPES

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

WESLEY CHAPEL DERMATOLOGY LLC (NPI 1407249998) is a healthcare organization registered as a dermatology in Wesley Chapel, Florida and active in the NPI registry since March 2015. The organization lists Sujatha Tadicherla, Partner, as its authorized official.

NPPES Registry Identity

NPI1407249998
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWESLEY CHAPEL DERMATOLOGY LLC
Location Address2336 CRESTOVER LN STE 101Wesley Chapel, FL 33544-6794
Mailing Address2336 Crestover Ln Ste 101Wesley Chapel, FL 33544-6794 · (813) 606-4144 · Fax (813) 666-1508
Fax(813) 666-1508
Organization SubpartNo
Authorized OfficialSujatha TadicherlaPartner · (813) 666-0488
Enumeration DateMarch 9, 2015
Last NPPES UpdateMay 22, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1407249998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
2336 CRESTOVER LN STE 101, Wesley Chapel, FL 33544

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

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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wesley Chapel Dermatology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1588259733
2336 CRESTOVER LN STE 101
Wesley Chapel, FL 33544
(813) 606-4144
✔ PECOSSame address
Dermatology
NPI 1700035433
2336 CRESTOVER LN STE 101
Wesley Chapel, FL 33544
(813) 606-4144
✔ 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.

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 Wesley Chapel Dermatology LLC's NPI number?

The NPI number for Wesley Chapel Dermatology LLC is 1407249998. It was assigned to this organization in the NPPES registry on March 9, 2015.

Where is Wesley Chapel Dermatology LLC located?

Wesley Chapel Dermatology LLC is located at 2336 Crestover Ln Ste 101, Wesley Chapel, FL 33544. The listed phone number is (813) 606-4144.

What is Wesley Chapel Dermatology LLC's specialty?

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

Is Wesley Chapel Dermatology LLC enrolled in Medicare?

Yes. Wesley Chapel Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wesley Chapel Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wesley Chapel 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wesley Chapel Dermatology LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Wesley Chapel Dermatology LLC 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 Wesley Chapel Dermatology LLC was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.