NANTUCKET DERMATOLOGY, LLC
NPI 1689944811
Dermatology in Nantucket, MA
About Nantucket Dermatology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANTUCKET DERMATOLOGY, LLC (NPI 1689944811) is a healthcare organization registered as a dermatology in Nantucket, Massachusetts and active in the NPI registry since January 2012. The organization lists Abrar A Qureshi, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
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)
Nantucket Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Nantucket Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Boston, MA 02115
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 Nantucket Dermatology, LLC's NPI number?
The NPI number for Nantucket Dermatology, LLC is 1689944811. It was assigned to this organization in the NPPES registry on January 4, 2012.
Where is Nantucket Dermatology, LLC located?
Nantucket Dermatology, LLC is located at 4.5 Bartlett Rd, Nantucket, MA 02554. The listed phone number is (781) 398-2225.
What is Nantucket Dermatology, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Nantucket Dermatology, LLC enrolled in Medicare?
Yes. Nantucket Dermatology, LLC is registered in the Medicare PECOS enrollment system.
When is Nantucket Dermatology, LLC'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 (Massachusetts, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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 Nantucket Dermatology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Nantucket Dermatology, 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 (7), Nurse Practitioner (2) and General Surgery (1). Of these, 1 practice 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 Nantucket Dermatology, LLC was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nantucket Dermatology, Llc · NPI 1689944811
Dermatology organization in Nantucket, Massachusetts. Organization record, active in the CMS NPPES registry since January 4, 2012.
## Identity
- **NPI:** 1689944811 (Entity type: Organization)
- **Enumerated:** January 4, 2012
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Abrar Qureshi, DIRECTOR
## Practice location
- **Address:** 4.5 BARTLETT RD, Nantucket, MA 02554
- **Phone:** (781) 398-2225 · **Fax:** (781) 398-2221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Massachusetts, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (7), Nurse Practitioner (2), General Surgery (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689944811) · Data from the CMS NPPES public registry.