EPIPHANY DERMATOLOGY OF MARYLAND PA
NPI 1679521165
Dermatology in Bethesda, MD
About Epiphany Dermatology Of Maryland Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EPIPHANY DERMATOLOGY OF MARYLAND PA (NPI 1679521165), doing business as Epiphany Dermatology, is a healthcare organization registered as a dermatology in Bethesda, Maryland and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 10, 2026 and lists Gheorghe Pusta, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
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)
Epiphany Dermatology Of Maryland Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Epiphany Dermatology Of Maryland PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (12)
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 Compliance 21D0211849
Epiphany Dermatology Of Maryland PA · Bethesda, MDFrequently 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 Epiphany Dermatology Of Maryland PA's NPI number?
The NPI number for Epiphany Dermatology Of Maryland PA is 1679521165. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Epiphany Dermatology.
Where is Epiphany Dermatology Of Maryland PA located?
Epiphany Dermatology Of Maryland PA is located at 6500 Rock Spring Dr Ste 105, Bethesda, MD 20817. The listed phone number is (301) 530-8300.
What is Epiphany Dermatology Of Maryland PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Epiphany Dermatology Of Maryland PA enrolled in Medicare?
Yes. Epiphany Dermatology Of Maryland PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Epiphany Dermatology Of Maryland PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Dermatology, reassign their Medicare billing to Epiphany Dermatology Of Maryland PA. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Epiphany Dermatology Of Maryland PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 21D0211849) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Epiphany Dermatology Of Maryland PA was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.