RICHMOND DERMATOLOGY SPECIALISTS
NPI 1508898420
Specialist in Richmond, VA

Active since July 07, 2006CLIA Certified · 2 labs
9816 MAYLAND DR, RICHMOND, VA 23233(804) 282-8510(804) 285-5750 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Richmond Dermatology Specialists NPPES

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

RICHMOND DERMATOLOGY SPECIALISTS (NPI 1508898420) is a healthcare organization registered as a specialist in Richmond, Virginia and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Kimberly Spiller, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1508898420
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRICHMOND DERMATOLOGY SPECIALISTS
Location Address9816 MAYLAND DRRichmond, VA 23233-1457
Mailing AddressPo Box 63372Charlotte, NC 28263-3372 · (804) 282-8510 · Fax (804) 285-5750
Fax(804) 285-5750
Organization SubpartNo
Authorized OfficialKimberly SpillerPractice Administrator · (804) 282-8510
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 4, 2013
✔ NPI 1508898420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 101028959
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.
9816 MAYLAND DR, Richmond, VA 23233

Other Identifiers 6

Medicare UPINH82138VA
Medicare ID-Type Unspecified70000335VA
Medicare UPINB59800VA
Medicare UPINI69380VA
Medicare ID-Type Unspecified70000338VA
Medicare UPINB09436VA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20231213000517DME · Physician - DermatologyDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

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

Clinicians by Medicare Specialty 3

Dermatology8
Nurse Practitioner3
Micrographic Dermatologic Surgery (MDS)1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1376972679
9816 MAYLAND DR
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1306080932
9816 MAYLAND DR
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1528591427
9816 MAYLAND DR
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215451752
9816 MAYLAND DR STE 100
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1083811426
9816 MAYLAND DR SUITE 100
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1568558625
9816 MAYLAND DR 100
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1760421416
9816 MAYLAND DR SUITE 100
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1336142306
9816 MAYLAND DR 100
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1598767808
9816 MAYLAND DR 100
Richmond, VA 23233
(804) 282-8510
✔ PECOSSame address
Dermatology
NPI 1720008246
9816 MAYLAND DR SUITE 100
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1255867784
3829 GASKINS RD STE A
Richmond, VA 23233
(804) 282-8510
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1144580804
10571 TELEGRAPH RD SUITE 210
Glen Allen, VA 23059
(804) 266-7611
✔ PECOS✔ Accepts Medicare6.7 mi

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 Waiver 49D0227531

Richmond Dermatology Specialists, PC · Richmond, VA
Active · expires May 30, 2027
CLIA Number49D0227531
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorEdward N. Kitces
Laboratory Phone(804) 282-8510
Laboratory LocationRichmond Dermatology Specialists, PC9816 Mayland Drive, Richmond, VA 23233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 49D2268118

Richmond Dermatology Specialists, PC · Richmond, VA
Active · expires Mar 13, 2027
CLIA Number49D2268118
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorMatthew M. Wallace
Laboratory Phone(804) 286-4927
Laboratory LocationRichmond Dermatology Specialists, PC9816 Mayland Dr, Richmond, VA 23233
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Richmond Dermatology Specialists's NPI number?

The NPI number for Richmond Dermatology Specialists is 1508898420. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Richmond Dermatology Specialists located?

Richmond Dermatology Specialists is located at 9816 Mayland Dr, Richmond, VA 23233. The listed phone number is (804) 282-8510.

What is Richmond Dermatology Specialists's specialty?

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

Is Richmond Dermatology Specialists enrolled in Medicare?

Yes. Richmond Dermatology Specialists is registered in the Medicare PECOS enrollment system.

When is Richmond Dermatology Specialists's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Virginia, Physician - Dermatology) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Richmond Dermatology Specialists?

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

Does Richmond Dermatology Specialists 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.

When was this NPI record last updated?

The NPPES record for Richmond Dermatology Specialists was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.