Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COASTAL DERMATOLOGY INC
NPI 1760927610
Dermatology in Westport, MA

Active since January 02, 2017
829 AMERICAN LEGION HWY, WESTPORT, MA 02790(508) 306-1400 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Jul 2, 2025, Sep 17, 2024 and 4 more (7 updates tracked since 2017).

About Coastal Dermatology Inc NPPES

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

COASTAL DERMATOLOGY INC (NPI 1760927610) is a healthcare organization registered as a dermatology in Westport, Massachusetts and active in the NPI registry since January 2017. The organization maintains 3 additional practice locations and lists Samuel D Goos, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1760927610
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOASTAL DERMATOLOGY INC
Location Address829 AMERICAN LEGION HWYWestport, MA 02790-4128
Mailing Address526 Main St Ste 302Acton, MA 01720-3310 · (978) 371-7010 · Fax (978) 371-0522
Organization SubpartNo
Authorized OfficialSamuel D GoosManaging Partner · (978) 371-7010
Enumeration DateJanuary 2, 2017
Last NPPES UpdateOctober 6, 20267 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1760927610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 79581
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 · DermatopathologyTaxonomy 207ND0900X
829 AMERICAN LEGION HWY, Westport, MA 02790

Secondary Practice Locations 3

Location 1153 E Washington StNorth Attleboro, MA 02760-2312 · Phone (508) 699-7546 · Fax (508) 699-7570
Location 21672 S County TrlEast Greenwich, RI 02818-5098 · Phone (401) 885-7546 · Fax (508) 885-6639
Location 3148 W River StProvidence, RI 02904-2615 · Phone (401) 273-9310 · Fax (401) 273-1270

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Dermatology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Coastal Dermatology Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology6
Nurse Practitioner4

Clinicians, nearest first (10)

Dermatology
NPI 1508824475
829 AMERICAN LEGION HWY
Westport, MA 02790
(508) 306-1400
✔ PECOSSame address
Dermatology
NPI 1447258371
829 AMERICAN LEGION HWY
Westport, MA 02790
(508) 306-1400
✔ PECOSSame address
Nurse Practitioner
NPI 1952654352
829 AMERICAN LEGION HWY
Westport, MA 02790
(508) 306-1400
✔ PECOSSame address
Nurse Practitioner
NPI 1578172243
145 FAUNCE CORNER MALL RD
N Dartmouth, MA 02747
(508) 993-7601
✔ PECOS4.9 mi
Dermatology
NPI 1588082200
1672 S COUNTY TRL STE 101
East Greenwich, RI 02818
(401) 885-7546
✔ PECOS✔ Accepts Medicare22 mi
Dermatology
NPI 1730839309
1672 S COUNTY TRL
East Greenwich, RI 02818
(401) 885-7546
✔ PECOS22 mi
Dermatology
NPI 1245256528
1672 S COUNTY TRL SUITE 101
East Greenwich, RI 02818
(404) 885-6647
✔ PECOS✔ Accepts Medicare22 mi
Dermatology
NPI 1932604568
1672 S COUNTY TRL
East Greenwich, RI 02818
(401) 885-7546
✔ PECOS22 mi
Nurse Practitioner
NPI 1740666932
1672 S COUNTY TRL
East Greenwich, RI 02818
(401) 885-7546
✔ PECOS22 mi
Nurse Practitioner
NPI 1265956445
1672 S COUNTY TRL
East Greenwich, RI 02818
(401) 885-7546
✔ PECOS22 mi

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 Coastal Dermatology Inc's NPI number?

The NPI number for Coastal Dermatology Inc is 1760927610. It was assigned to this organization in the NPPES registry on January 2, 2017.

Where is Coastal Dermatology Inc located?

Coastal Dermatology Inc is located at 829 American Legion Hwy, Westport, MA 02790. The listed phone number is (508) 306-1400.

What is Coastal Dermatology Inc's specialty?

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

Is Coastal Dermatology Inc enrolled in Medicare?

Yes. Coastal Dermatology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Dermatology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastal Dermatology Inc. 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 (6) and Nurse Practitioner (4). Of these, 3 practice at this address and 4 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 Coastal Dermatology Inc was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.