GREEN DERMATOLOGY LLC
NPI 1861233827
Dermatology in Milford, DE

Active since June 04, 2024CLIA 08D2305860 · Certificate of Compliance
310 MULLET RUN, MILFORD, DE 19963(302) 459-5010(302) 487-1727 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Green Dermatology Llc NPPES

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

GREEN DERMATOLOGY LLC (NPI 1861233827) is a healthcare organization registered as a dermatology in Milford, Delaware and active in the NPI registry since June 2024. The organization holds a CLIA Certificate of Compliance certificate valid through July 8, 2028 and lists Fady Gerges, Owner, as its authorized official.

NPPES Registry Identity

NPI1861233827
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGREEN DERMATOLOGY LLC
Location Address310 MULLET RUNMilford, DE 19963-5371
Mailing Address310 Mullet RunMilford, DE 19963-5371 · (302) 459-5010 · Fax (302) 487-1727
Fax(302) 487-1727
Organization SubpartNo
Authorized OfficialFady GergesOwner · (302) 459-5010
Enumeration DateJune 4, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1861233827 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.
310 MULLET RUN, Milford, DE 19963

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Green Dermatology LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Pathology
NPI 1437211315
1633 SORGHUM MILL RD
Dover, DE 19901
(302) 734-5050
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1225783020
19161 HEALTHY WAY UNIT 100
Rehoboth Beach, DE 19971
(302) 645-3010
✔ PECOS✔ Accepts Medicare22 mi
Dermatology
NPI 1942647078
9501 ROOSEVELT BLVD STE 506
Philadelphia, PA 19114
(610) 288-2908
✔ PECOS✔ Accepts Medicare83 mi

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

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 Compliance 08D2305860

Green Dermatology LLC · Milford, DE
Active · expires Jul 8, 2028
CLIA Number08D2305860
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorPaige Venables
Laboratory Phone(302) 459-5010
Laboratory LocationGreen Dermatology LLC310 Mullet Run, Milford, DE 19963
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Green Dermatology LLC's NPI number?

The NPI number for Green Dermatology LLC is 1861233827. It was assigned to this organization in the NPPES registry on June 4, 2024.

Where is Green Dermatology LLC located?

Green Dermatology LLC is located at 310 Mullet Run, Milford, DE 19963. The listed phone number is (302) 459-5010.

What is Green Dermatology LLC's specialty?

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

Is Green Dermatology LLC enrolled in Medicare?

Yes. Green Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Green Dermatology LLC, in Dermatology, Nurse Practitioner and Pathology. 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.

Does Green Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 08D2305860) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Green Dermatology LLC accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Green Dermatology LLC 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 Green Dermatology LLC was last updated on June 4, 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.