INTEGRATED DERMATOLOGY OF WORCESTER II LLC
NPI 1659046340
Dermatology in Worcester, MA
About Integrated Dermatology Of Worcester Ii Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED DERMATOLOGY OF WORCESTER II LLC (NPI 1659046340) is a healthcare organization registered as a dermatology in Worcester, Massachusetts and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Robert Benson, 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 Worcester Ii Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Integrated Dermatology Of Worcester II LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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
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 22D2323613
Integrated Dermatology Of Worcester · Worcester, MAFrequently 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 Worcester II LLC's NPI number?
The NPI number for Integrated Dermatology Of Worcester II LLC is 1659046340. It was assigned to this organization in the NPPES registry on August 13, 2021.
Where is Integrated Dermatology Of Worcester II LLC located?
Integrated Dermatology Of Worcester II LLC is located at 255 Park Ave Ste 509, Worcester, MA 01609. The listed phone number is (508) 890-5500.
What is Integrated Dermatology Of Worcester II LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Integrated Dermatology Of Worcester II LLC enrolled in Medicare?
Yes. Integrated Dermatology Of Worcester II LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Dermatology Of Worcester II LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Integrated Dermatology Of Worcester II LLC, in Dermatology and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Integrated Dermatology Of Worcester II LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2323613) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Integrated Dermatology Of Worcester II LLC was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.