MAIN LINE DERMATOLOGY, INC.
NPI 1497787246
Specialist in Wayne, PA

Active since July 06, 2006
995 OLD EAGLE SCHOOL RD, SUITE 304-F, WAYNE, PA 19087(610) 688-3099(610) 687-5350 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Main Line Dermatology, Inc. NPPES

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

MAIN LINE DERMATOLOGY, INC. (NPI 1497787246) is a healthcare organization registered as a specialist in Wayne, Pennsylvania and active in the NPI registry since July 2006. The organization lists Loretta R Kramer, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1497787246
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMAIN LINE DERMATOLOGY, INC.
Location Address995 OLD EAGLE SCHOOL RD, SUITE 304-FWayne, PA 19087-1709
Mailing Address995 Old Eagle School Rd, Suite 304-fWayne, PA 19087-1709 · (610) 688-3099 · Fax (610) 687-5350
Fax(610) 687-5350
Organization SubpartNo
Authorized OfficialLoretta R KramerPractice Manager · (610) 688-3099
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497787246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
995 OLD EAGLE SCHOOL RD, Wayne, PA 19087

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Main Line Dermatology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Main Line Dermatology, Inc., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology7
Nurse Practitioner4
Micrographic Dermatologic Surgery (MDS)1

Clinicians, nearest first (12)

Dermatology
NPI 1851689343
995 OLD EAGLE SCHOOL RD, SUITE 304F
Wayne, PA 19087
(610) 688-3099
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1447297502
995 OLD EAGLE SCHOOL RD SUITE 304-F
Wayne, PA 19087
(610) 688-3099
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912974627
995 OLD EAGLE SCHOOL RD STE 304F
Wayne, PA 19087
(610) 688-3099
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1235120320
995 OLD EAGLE SCHOOL RD SUITE 304-F
Wayne, PA 19087
(610) 688-3099
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1255726899
995 OLD EAGLE SCHOOL RD STE 304F
Wayne, PA 19087
(610) 688-3099
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639328032
995 OLD EAGLE SCHOOL RD STE 304F
Wayne, PA 19087
(610) 688-3099
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1053302141
995 OLD EAGLE SCHOOL RD SUITE 304-F
Wayne, PA 19087
(610) 688-3099
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1326039413
995 OLD EAGLE SCHOOL RD SUITE 304-F
Wayne, PA 19087
(610) 688-3099
✔ PECOSSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1184645731
306 GYPSY LN
Wynnewood, PA 19096
(484) 343-8751
✔ PECOS✔ Accepts Medicare8.3 mi
Dermatology
NPI 1366837395
3400 CIVIC CENTER BLVD
Philadelphia, PA 19104
(215) 360-0909
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1447709084
38 KEYSTONE COURT
Leola, PA 17540
(717) 869-0919
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1487624367
8 BROOKHILL SQUARE SOUTH
Sugarloaf, PA 18249
(570) 459-0029
✔ PECOS✔ Accepts Medicare72 mi

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 Main Line Dermatology, Inc.'s NPI number?

The NPI number for Main Line Dermatology, Inc. is 1497787246. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Main Line Dermatology, Inc. located?

Main Line Dermatology, Inc. is located at 995 Old Eagle School Rd Suite 304-F, Wayne, PA 19087. The listed phone number is (610) 688-3099.

What is Main Line Dermatology, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Main Line Dermatology, Inc. enrolled in Medicare?

Yes. Main Line Dermatology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Main Line Dermatology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Main Line Dermatology, Inc.. 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 (7), Nurse Practitioner (4) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Main Line Dermatology, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.