ADVANCED DERMATOLOGY OF MARYLAND PC
NPI 1760856413
Dermatology in Rockville, MD

Active since November 18, 2015CLIA Certified · 2 labs
2401 RESEARCH BLVD STE 260, ROCKVILLE, MD 20850(301) 990-6565(301) 990-8525 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2017, Nov 18, 2015 (2 updates tracked since 2015).

About Advanced Dermatology Of Maryland Pc NPPES

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

ADVANCED DERMATOLOGY OF MARYLAND PC (NPI 1760856413) is a healthcare organization registered as a dermatology in Rockville, Maryland and active in the NPI registry since November 2015. The organization holds 2 active CLIA laboratory certificates and lists Matt Louis Leavitt, Do / Owner, as its authorized official.

NPPES Registry Identity

NPI1760856413
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF MARYLAND PC
Location Address2401 RESEARCH BLVD STE 260Rockville, MD 20850-3261
Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 650-3455
Fax(301) 990-8525
Organization SubpartNo
Authorized OfficialMatt Louis LeavittDo / Owner · (407) 875-2080
Enumeration DateNovember 18, 2015
Last NPPES UpdateJanuary 22, 20182 updates tracked since enumeration
✔ NPI 1760856413 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.
2401 RESEARCH BLVD STE 260, Rockville, MD 20850

Other Identifiers 1

Medicaid8025029MD

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology Of Maryland Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Advanced Dermatology Of Maryland PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology16
Nurse Practitioner4
Diagnostic Radiology1
Micrographic Dermatologic Surgery (MDS)1

Nearest to this location (20)

See all 22
Dermatology
NPI 1396724779
2401 RESEARCH BLVD SUITE 260
Rockville, MD 20850
(301) 990-6565
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1306826102
2401 RESEARCH BLVD
Rockville, MD 20850
(301) 990-6565
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760151955
5530 WISCONSIN AVE STE 1418
Chevy Chase, MD 20815
(301) 986-1880
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1366407157
45155 RESEARCH PL SUITE 140
Ashburn, VA 20147
(703) 858-0500
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1932119690
45155 RESEARCH PL SUITE 140
Ashburn, VA 20147
(703) 858-0500
✔ PECOS✔ Accepts Medicare14 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1134252455
10680 MAIN ST STE 200
Fairfax, VA 22030
(703) 352-2620
✔ PECOS✔ Accepts Medicare19 mi
Dermatology
NPI 1063807980
4660 KENMORE AVE STE 1100
Alexandria, VA 22304
(703) 370-0073
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1730151119
4660 KENMORE AVE SUITE 500
Alexandria, VA 22304
(703) 370-0073
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1477820769
1500 GALEN ST SE
Washington, DC 20020
(202) 610-7160
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1023288156
1400 MERCANTILE LN SUITE 110
Largo, MD 20774
(301) 773-7546
✔ PECOS✔ Accepts Medicare23 mi
Dermatology
NPI 1932295508
4000 MITCHELLVILLE RD #206
Bowie, MD 20716
(301) 262-7550
✔ PECOS✔ Accepts Medicare27 mi
Dermatology
NPI 1861561730
11701 LIVINGSTON RD 302
Fort Washington, MD 20744
(301) 292-6010
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1710056692
11701 LIVINGSTON RD 302
Fort Washington, MD 20744
(301) 292-6010
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1598297962
231 NAJOLES RD STE 460
Millersville, MD 21108
(443) 883-8563
✔ PECOS✔ Accepts Medicare30 mi
Dermatology
NPI 1609811983
1838 GREENE TREE RD SUITE 340
Baltimore, MD 21208
(410) 602-3376
✔ PECOS✔ Accepts Medicare31 mi
Dermatology
NPI 1104115963
1800 ORLEANS ST
Baltimore, MD 21287
(410) 955-8893
✔ PECOS✔ Accepts Medicare35 mi
Dermatology
NPI 1922685502
200 HARRY S TRUMAN PKWY STE 400
Annapolis, MD 21401
(410) 897-0272
✔ PECOS✔ Accepts Medicare37 mi
Dermatology
NPI 1265896633
10153 YORK RD STE 104
Cockeysville, MD 21030
(410) 472-1006
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1578651485
10 FILA WAY STE. 205
Sparks, MD 21152
(410) 472-1006
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1497327936
3445 BOX HILL CORPORATE CENTER DR STE E
Abingdon, MD 21009
(410) 569-5151
✔ PECOS✔ Accepts Medicare53 mi
See all 22 clinicians

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 2

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 Accreditation 21D2027263

Advanced Dermatology Of Maryland · Rockville, MD
Active · expires Jan 25, 2028
CLIA Number21D2027263
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorKelley P. Redbord
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Maryland2401 Research Blvd Ste 260, Rockville, MD 20850
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 21D2091714

Advanced Dermatology Of Maryland · Rockville, MD
Active · expires Dec 28, 2027
CLIA Number21D2091714
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorSherry Maragh
Laboratory Phone(301) 358-5919
Laboratory LocationAdvanced Dermatology Of Maryland14995 Shady Grove Rd Suite 150, Rockville, MD 20850
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Advanced Dermatology Of Maryland PC's NPI number?

The NPI number for Advanced Dermatology Of Maryland PC is 1760856413. It was assigned to this organization in the NPPES registry on November 18, 2015.

Where is Advanced Dermatology Of Maryland PC located?

Advanced Dermatology Of Maryland PC is located at 2401 Research Blvd Ste 260, Rockville, MD 20850. The listed phone number is (301) 990-6565.

What is Advanced Dermatology Of Maryland PC's specialty?

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

Is Advanced Dermatology Of Maryland PC enrolled in Medicare?

Yes. Advanced Dermatology Of Maryland PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology Of Maryland PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Advanced Dermatology Of Maryland 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. The largest specialties are Dermatology (16), Nurse Practitioner (4) and Diagnostic Radiology (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermatology Of Maryland PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Of Maryland PC was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.