CONNECTICUT DERMATOLOGY LLC
NPI 1730497751
Specialist in Cheshire, CT
About Connecticut Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNECTICUT DERMATOLOGY LLC (NPI 1730497751) is a healthcare organization registered as a specialist in Cheshire, Connecticut and active in the NPI registry since September 2010. The organization lists Michelle Malane, Member/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Connecticut Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Connecticut Dermatology LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Connecticut Dermatology LLC's NPI number?
The NPI number for Connecticut Dermatology LLC is 1730497751. It was assigned to this organization in the NPPES registry on September 24, 2010.
Where is Connecticut Dermatology LLC located?
Connecticut Dermatology LLC is located at 1781 Highland Ave, Cheshire, CT 06410. The listed phone number is (203) 272-3376.
What is Connecticut Dermatology LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Connecticut Dermatology LLC enrolled in Medicare?
Yes. Connecticut Dermatology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Connecticut Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Connecticut 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Connecticut Dermatology LLC was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Connecticut Dermatology Llc · NPI 1730497751
Specialist organization in Cheshire, Connecticut. Organization record, active in the CMS NPPES registry since September 24, 2010.
## Identity
- **NPI:** 1730497751 (Entity type: Organization)
- **Enumerated:** September 24, 2010
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Michelle Malane, MEMBER/OWNER
## Practice location
- **Address:** 1781 HIGHLAND AVE, Cheshire, CT 06410-1254
- **Phone:** (203) 272-3376 · **Fax:** (203) 272-9539
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2010
- **Other identifiers:** Medicare UPIN G38502 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1730497751) · Data from the CMS NPPES public registry.