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RUTLAND SKIN CENTER, PC
NPI 1730498676
Dermatology in Rutland, VT

Active since September 27, 2010
3 MAHONEY AVE, RUTLAND, VT 05701(802) 773-3553 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rutland Skin Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUTLAND SKIN CENTER, PC (NPI 1730498676) is a healthcare organization registered as a dermatology in Rutland, Vermont and active in the NPI registry since September 2010. The organization lists Daniel Mccauliffe, Owner, as its authorized official.

NPPES Registry Identity

NPI1730498676
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRUTLAND SKIN CENTER, PC
Location Address3 MAHONEY AVERutland, VT 05701-4837
Mailing Address3 Mahoney AveRutland, VT 05701-4837
Phone(802) 773-3553
Organization SubpartNo
Authorized OfficialDaniel MccauliffeOwner · (802) 773-3553
Enumeration DateSeptember 27, 2010
Last NPPES UpdateJuly 28, 2016
✔ NPI 1730498676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3 MAHONEY AVE, Rutland, VT 05701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Rutland Skin Center, Pc 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.

StateEnrollment IDDue date
StateVermontEnrollment IDO20120215000873Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rutland Skin Center, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Mccauliffe, MD
Dermatology
NPI 1164512067
3 MAHONEY AVE
Rutland, VT 05701
(802) 773-3553
✔ PECOS✔ Accepts MedicareSame address

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 Rutland Skin Center, PC's NPI number?

The NPI number for Rutland Skin Center, PC is 1730498676. It was assigned to this organization in the NPPES registry on September 27, 2010.

Where is Rutland Skin Center, PC located?

Rutland Skin Center, PC is located at 3 Mahoney Ave, Rutland, VT 05701. The listed phone number is (802) 773-3553.

What is Rutland Skin Center, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Rutland Skin Center, PC enrolled in Medicare?

Yes. Rutland Skin Center, PC is registered in the Medicare PECOS enrollment system.

When is Rutland Skin Center, PC'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 (Vermont, 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 Rutland Skin Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Rutland Skin Center, PC. 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 Rutland Skin Center, PC was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.