INTEGRATED DERMATOLOGY OF SHADY GROVE LLC
NPI 1649951781
Dermatology in Rockville, MD
About Integrated Dermatology Of Shady Grove Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED DERMATOLOGY OF SHADY GROVE LLC (NPI 1649951781) is a healthcare organization registered as a dermatology in Rockville, Maryland and active in the NPI registry since July 2023. The organization lists Jeffrey S Fromowitz, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Dermatology Of Shady Grove Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Integrated Dermatology Of Shady Grove LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Integrated Dermatology Of Shady Grove LLC's NPI number?
The NPI number for Integrated Dermatology Of Shady Grove LLC is 1649951781. It was assigned to this organization in the NPPES registry on July 31, 2023.
Where is Integrated Dermatology Of Shady Grove LLC located?
Integrated Dermatology Of Shady Grove LLC is located at 15245 Shady Grove Rd 370, Rockville, MD 20850. The listed phone number is (240) 246-7417.
What is Integrated Dermatology Of Shady Grove LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Integrated Dermatology Of Shady Grove LLC enrolled in Medicare?
Yes. Integrated Dermatology Of Shady Grove LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Dermatology Of Shady Grove LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrated Dermatology Of Shady Grove LLC. 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 (4) and Nurse Practitioner (1). Of these, 4 practice at this address and 5 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 Integrated Dermatology Of Shady Grove LLC was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.