MODERN DERMATOLOGY PC
NPI 1497258719
Dermatology in Westport, CT
About Modern Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODERN DERMATOLOGY PC (NPI 1497258719) is a healthcare organization registered as a dermatology in Westport, Connecticut and active in the NPI registry since March 2018. The organization holds 2 active CLIA laboratory certificates and lists Ina King, Office Manager, 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)
Modern Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Modern Dermatology PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 2
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 07D2205250
Modern Dermatology PC · Westport, CTCertificate of Compliance 07D2343513
Modern Dermatology-Greenwich Lab · Greenwich, CTFrequently 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 Modern Dermatology PC's NPI number?
The NPI number for Modern Dermatology PC is 1497258719. It was assigned to this organization in the NPPES registry on March 13, 2018.
Where is Modern Dermatology PC located?
Modern Dermatology PC is located at 1032 Post Rd E, Westport, CT 06880. The listed phone number is (203) 635-0770.
What is Modern Dermatology PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Modern Dermatology PC enrolled in Medicare?
Yes. Modern Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Modern Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Modern Dermatology PC. 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 (4), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Modern Dermatology PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Modern Dermatology PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Modern Dermatology PC 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 Modern Dermatology PC was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Modern Dermatology Pc · NPI 1497258719
Dermatology organization in Westport, Connecticut. Organization record, active in the CMS NPPES registry since March 13, 2018.
## Identity
- **NPI:** 1497258719 (Entity type: Organization)
- **Enumerated:** March 13, 2018
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Ina King, OFFICE MANAGER
## Practice location
- **Address:** 1032 POST RD E, Westport, CT 06880
- **Phone:** (203) 635-0770 · **Fax:** (203) 635-0771
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Micrographic Dermatologic Surgery (MDS) (1), Nurse Practitioner (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2018
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497258719) · Data from the CMS NPPES public registry.