EPIPHANY DERMATOLOGY OF MARYLAND PA
NPI 1679521165
Dermatology in Bethesda, MD

Active since May 05, 2006CLIA 21D0211849 · Certificate of Compliance
6500 ROCK SPRING DR STE 105, BETHESDA, MD 20817(301) 530-8300 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Aug 11, 2025, May 29, 2025 and 8 more (11 updates tracked since 2018).

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

NPI1679521165
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEPIPHANY DERMATOLOGY OF MARYLAND PA
Location Address6500 ROCK SPRING DR STE 105Bethesda, MD 20817-1154
Mailing Address7300 Ranch Road 2222, Bldg 1, Ste 200Austin, TX 78730-3255 · (512) 628-0465
Organization SubpartNo
Authorized OfficialGheorghe PustaExecutive Director · (512) 628-0465
Enumeration DateMay 5, 2006
Last NPPES UpdateNovember 12, 202511 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1679521165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedPlastic SurgeryTaxonomy 208200000X
6500 ROCK SPRING DR STE 105, Bethesda, MD 20817

Other Names 1

Doing Business AsEpiphany Dermatology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, MD
Active · expires Dec 10, 2026
CLIA Number21D0211849
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorThomas Yu
Laboratory Phone(301) 530-8300
Laboratory LocationEpiphany Dermatology Of Maryland PA6500 Rock Spring Dr Ste 105, Bethesda, MD 20817
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
6500 ROCK SPRING DR STE 105
BETHESDA, MD 20817
Dermatology (Procedural Dermatology)
6500 ROCK SPRING DR STE 105
BETHESDA, MD 20817
Dermatology
6500 ROCK SPRING DR STE 105
BETHESDA, MD 20817
Clinic/Center (Ambulatory Surgical)
6500 ROCK SPRING DR STE 105
BETHESDA, MD 20817
Dermatology
6500 ROCK SPRING DR STE 105
BETHESDA, MD 20817

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 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.

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 8 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.