KHOSLA DERMATOLOGY, INC.
NPI 1508583790
Dermatology in Redwood City, CA

Active since October 27, 2022
100 ARCH ST STE 1, REDWOOD CITY, CA 94062(650) 482-7546(650) 562-7481 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khosla Dermatology, Inc. NPPES

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

KHOSLA DERMATOLOGY, INC. (NPI 1508583790) is a healthcare organization registered as a dermatology in Redwood City, California and active in the NPI registry since October 2022. The organization lists Shaheen Khosla, Provider, as its authorized official.

NPPES Registry Identity

NPI1508583790
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKHOSLA DERMATOLOGY, INC.
Location Address100 ARCH ST STE 1Redwood City, CA 94062-1381
Mailing Address100 Arch St Ste 1Redwood City, CA 94062-1381 · (650) 482-7546 · Fax (650) 562-7481
Fax(650) 562-7481
Organization SubpartNo
Authorized OfficialShaheen KhoslaProvider · (650) 482-7546
Enumeration DateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1508583790 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.
100 ARCH ST STE 1, Redwood City, CA 94062

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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Khosla Dermatology, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1649439720
100 ARCH ST STE 1
Redwood City, CA 94062
(650) 482-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1588027981
450 STANYAN ST
San Francisco, CA 94117
(415) 750-5955
✔ PECOS✔ Accepts Medicare23 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1124476296
6574 OAKMONT DR STE B
Santa Rosa, CA 95409
(707) 579-4239
✔ PECOS✔ Accepts Medicare69 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 Khosla Dermatology, Inc.'s NPI number?

The NPI number for Khosla Dermatology, Inc. is 1508583790. It was assigned to this organization in the NPPES registry on October 27, 2022.

Where is Khosla Dermatology, Inc. located?

Khosla Dermatology, Inc. is located at 100 Arch St Ste 1, Redwood City, CA 94062. The listed phone number is (650) 482-7546.

What is Khosla Dermatology, Inc.'s specialty?

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

Is Khosla Dermatology, Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Khosla Dermatology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Khosla Dermatology, Inc., in Dermatology and Micrographic Dermatologic Surgery (MDS). 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Khosla Dermatology, Inc. was last updated on October 27, 2022. 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.