DERMATOLOGY AND MOHS SURGERY CENTER PC
NPI 1629279310
Dermatology - MOHS-Micrographic Surgery in Doylestown, PA
About Dermatology And Mohs Surgery Center Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY AND MOHS SURGERY CENTER PC (NPI 1629279310) is a healthcare organization registered as a mohs-micrographic surgery in Doylestown, Pennsylvania and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Angela Ruth Peterman, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 And Mohs Surgery Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Dermatology And Mohs Surgery Center PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
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 Compliance 39D1067033
Dermatology And Mohs Surgery Center PC · Doylestown, PACertificate of Compliance 39D2032002
Dermatology And Mohs Surgery Center · Sellersville, PAFrequently 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 Dermatology And Mohs Surgery Center PC's NPI number?
The NPI number for Dermatology And Mohs Surgery Center PC is 1629279310. It was assigned to this organization in the NPPES registry on May 30, 2007.
Where is Dermatology And Mohs Surgery Center PC located?
Dermatology And Mohs Surgery Center PC is located at 2003 Lower State Rd Bldg 200, Doylestown, PA 18901. The listed phone number is (215) 345-6647.
What is Dermatology And Mohs Surgery Center PC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Dermatology And Mohs Surgery Center PC enrolled in Medicare?
Yes. Dermatology And Mohs Surgery Center PC is registered in the Medicare PECOS enrollment system.
When is Dermatology And Mohs Surgery Center PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Dermatology And Mohs Surgery Center PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Dermatology And Mohs Surgery Center PC. 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 (5), Nurse Practitioner (4) and Pathology (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology And Mohs Surgery Center PC 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 Dermatology And Mohs Surgery Center PC was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dermatology And Mohs Surgery Center Pc · NPI 1629279310
MOHS-Micrographic Surgery organization in Doylestown, Pennsylvania. Organization record, active in the CMS NPPES registry since May 30, 2007.
## Identity
- **NPI:** 1629279310 (Entity type: Organization)
- **Enumerated:** May 30, 2007
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Organization subpart:** No
- **Authorized official:** Angela Peterman, MD
## Practice location
- **Address:** 2003 LOWER STATE RD BLDG 200, Doylestown, PA 18901-2622
- **Phone:** (215) 345-6647 · **Fax:** (215) 345-0460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (5), Nurse Practitioner (4), Pathology (1); 2 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629279310) · Data from the CMS NPPES public registry.