MODERN DERMATOLOGY OF MASSACHUSETTS, PLLC
NPI 1831964915
Dermatology in Fall River, MA

Active since November 20, 2023
10 N MAIN ST STE 402, FALL RIVER, MA 02720(508) 974-3037(434) 423-4783 Get Directions Write a Review

NPPES record last updated: January 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2023, Nov 20, 2023 (2 updates tracked since 2023).

About Modern Dermatology Of Massachusetts, Pllc NPPES

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

MODERN DERMATOLOGY OF MASSACHUSETTS, PLLC (NPI 1831964915) is a healthcare organization registered as a dermatology in Fall River, Massachusetts and active in the NPI registry since November 2023. The organization lists Erik Domingues, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1831964915
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMODERN DERMATOLOGY OF MASSACHUSETTS, PLLC
Location Address10 N MAIN ST STE 402Fall River, MA 02720-2130
Mailing Address7 Lambert LnWarren, RI 02885-1639 · (508) 974-3037
Fax(434) 423-4783
Organization SubpartNo
Authorized OfficialErik DominguesDermatologist · (508) 974-3037
Enumeration DateNovember 20, 2023
Last NPPES UpdateJanuary 20, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2024
✔ NPI 1831964915 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.
10 N MAIN ST STE 402, Fall River, MA 02720

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Dermatology Of Massachusetts, Pllc 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 Modern Dermatology Of Massachusetts, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1962713370
10 N MAIN ST STE 402
Fall River, MA 02720
(508) 974-3037
✔ PECOSSame 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 Modern Dermatology Of Massachusetts, PLLC's NPI number?

The NPI number for Modern Dermatology Of Massachusetts, PLLC is 1831964915. It was assigned to this organization in the NPPES registry on November 20, 2023.

Where is Modern Dermatology Of Massachusetts, PLLC located?

Modern Dermatology Of Massachusetts, PLLC is located at 10 N Main St Ste 402, Fall River, MA 02720. The listed phone number is (508) 974-3037.

What is Modern Dermatology Of Massachusetts, PLLC's specialty?

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

Is Modern Dermatology Of Massachusetts, PLLC enrolled in Medicare?

Yes. Modern Dermatology Of Massachusetts, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Dermatology Of Massachusetts, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Modern Dermatology Of Massachusetts, PLLC. 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.

What insurance does Modern Dermatology Of Massachusetts, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Modern Dermatology Of Massachusetts, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Dermatology Of Massachusetts, PLLC was last updated on January 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.