DERMATOLOGY ASSOCIATES OF CONCORD INC
NPI 1508964230
Dermatology in Concord, MA

Q: What is Dermatology Associates Of Concord Inc's specialty?

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

Active since September 20, 2006CLIA Certified · 2 labs

290 BAKER AVE, CONCORD, MA 01742(978) 369-9023(978) 371-9675 Get Directions Write a Review

NPPES record last updated: September 27, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dermatology Associates Of Concord Inc NPPES

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

DERMATOLOGY ASSOCIATES OF CONCORD INC (NPI 1508964230) is a healthcare organization registered as a dermatology in Concord, Massachusetts and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Terry P Hadley, President, as its authorized official.

NPPES Registry Identity

NPI1508964230

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameDERMATOLOGY ASSOCIATES OF CONCORD INC

Location Address290 BAKER AVEConcord, MA 01742-2189

Mailing Address290 Baker AveConcord, MA 01742-2189 · (978) 369-9023 · Fax (978) 371-9675

Phone(978) 369-9023

Fax(978) 371-9675

Organization SubpartNo

Authorized OfficialTerry P HadleyPresident · (978) 369-9023

Enumeration DateSeptember 20, 2006

Last NPPES UpdateSeptember 27, 2017

✔ NPI 1508964230 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.

290 BAKER AVE, Concord, MA 01742

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Other Identifiers 3

Medicare ID-Type UnspecifiedM11607MA

OtherM11607MA · Blue S Hield

Medicaid9703713MA

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)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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

StateMassachusettsEnrollment IDO20050914001078Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 15 clinicians reassign Medicare billing to Dermatology Associates Of Concord Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology14

Pathology1

Clinicians, nearest first (15)

Alexis Perkins, MD

Dermatology

NPI 1659547727

290 BAKER AVE STE 220N
Concord, MA 01742

(978) 369-9023