DERM-360 LLC
NPI 1497581821
Dermatology in Hagerstown, MD

Active since September 11, 2024CLIA 21D2312566 · Microscopy
319 E ANTIETAM ST, HAGERSTOWN, MD 21740(540) 560-3969 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derm-360 Llc NPPES

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

DERM-360 LLC (NPI 1497581821) is a healthcare organization registered as a dermatology in Hagerstown, Maryland and active in the NPI registry since September 2024. The organization holds a CLIA Microscopy certificate valid through October 14, 2026 and lists Bharath Balu, Physician, as its authorized official.

NPPES Registry Identity

NPI1497581821
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERM-360 LLC
Location Address319 E ANTIETAM STHagerstown, MD 21740-5701
Mailing Address319 E Antietam StHagerstown, MD 21740-5701
Organization SubpartNo
Authorized OfficialBharath BaluPhysician · (540) 560-3969
Enumeration DateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
NPI 1497581821 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.
319 E ANTIETAM ST, Hagerstown, MD 21740

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

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 for Provider-Performed Microscopy Procedures (PPMP) 21D2312566

Derm-360 · Hagerstown, MD
Active · expires Oct 14, 2026
CLIA Number21D2312566
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorDr. Bharath Balu
Laboratory Phone(540) 560-3969
Laboratory LocationDerm-360319 E Antietam Street, Hagerstown, MD 21740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 14

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

Pediatrics
319 E ANTIETAM ST
HAGERSTOWN, MD 21740
Nurse Practitioner (Pediatrics)
319 E ANTIETAM ST
HAGERSTOWN, MD 21740
Social Worker (Clinical)
319 E ANTIETAM ST
HAGERSTOWN, MD 21740
Physician Assistant
319 E ANTIETAM ST
HAGERSTOWN, MD 21740
Nurse Practitioner
319 E ANTIETAM ST
HAGERSTOWN, MD 21740
Pediatrics
319 E ANTIETAM ST
HAGERSTOWN, MD 21740
Pediatrics
319 E ANTIETAM ST
HAGERSTOWN, MD 21740
Pediatrics
319 E ANTIETAM ST
HAGERSTOWN, MD 21740

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 Derm-360 LLC's NPI number?

The NPI number for Derm-360 LLC is 1497581821. It was assigned to this organization in the NPPES registry on September 11, 2024.

Where is Derm-360 LLC located?

Derm-360 LLC is located at 319 E Antietam St, Hagerstown, MD 21740. The listed phone number is (540) 560-3969.

What is Derm-360 LLC's specialty?

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

Does Derm-360 LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D2312566) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Derm-360 LLC was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.