INTEGRATED DERMATOLOGY OF BLUEFIELD, PLLC
NPI 1902474422
Dermatology in Bluefield, VA

Active since June 11, 2021
725 S COLLEGE AVE, BLUEFIELD, VA 24605(276) 326-3376 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Integrated Dermatology Of Bluefield, Pllc NPPES

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

INTEGRATED DERMATOLOGY OF BLUEFIELD, PLLC (NPI 1902474422) is a healthcare organization registered as a dermatology in Bluefield, Virginia and active in the NPI registry since June 2021. The organization lists Jeffrey S Fromowitz, Authorized Group Official, as its authorized official.

NPPES Registry Identity

NPI1902474422
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF BLUEFIELD, PLLC
Location Address725 S COLLEGE AVEBluefield, VA 24605-1640
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Organization SubpartNo
Authorized OfficialJeffrey S FromowitzAuthorized Group Official · (561) 314-2000
Enumeration DateJune 11, 2021
NPPES CertifiedJune 11, 2021
✔ NPI 1902474422 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.
725 S COLLEGE AVE, Bluefield, VA 24605

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Dermatology Of Bluefield, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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
StateWest VirginiaEnrollment IDO20211123000183Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Integrated Dermatology Of Bluefield, PLLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Dermatology2
Physician Assistant2
Micrographic Dermatologic Surgery (MDS)1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1992224364
725 S COLLEGE AVE
Bluefield, VA 24605
(276) 326-3376
✔ PECOS✔ Accepts MedicareSame address
Physician Assistant
NPI 1104855907
725 S COLLEGE AVE
Bluefield, VA 24605
(276) 326-3376
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1336760677
725 S COLLEGE AVE
Bluefield, VA 24605
(276) 326-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1043848229
725 S COLLEGE AVE
Bluefield, VA 24605
(276) 326-3376
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407610637
725 S COLLEGE AVE
Bluefield, VA 24605
(276) 326-3376
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366884793
725 S COLLEGE AVE
Bluefield, VA 24605
(276) 326-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1831176296
725 S COLLEGE AVE
Bluefield, VA 24605
(276) 326-3376
✔ PECOS✔ Accepts MedicareSame address
Physician Assistant
NPI 1366582660
4130 ROBERT C BYRD DR
Beckley, WV 25801
(304) 425-9435
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1104261767
4130 ROBERT C BYRD DR
Beckley, WV 25801
(304) 425-9435
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1023440005
4130 ROBERT C BYRD DR
Beckley, WV 25801
(304) 425-9435
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1295221075
4130 ROBERT C BYRD DR
Beckley, WV 25801
(304) 425-9435
✔ PECOS✔ Accepts Medicare37 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 Integrated Dermatology Of Bluefield, PLLC's NPI number?

The NPI number for Integrated Dermatology Of Bluefield, PLLC is 1902474422. It was assigned to this organization in the NPPES registry on June 11, 2021.

Where is Integrated Dermatology Of Bluefield, PLLC located?

Integrated Dermatology Of Bluefield, PLLC is located at 725 S College Ave, Bluefield, VA 24605. The listed phone number is (276) 326-3376.

What is Integrated Dermatology Of Bluefield, PLLC's specialty?

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

Is Integrated Dermatology Of Bluefield, PLLC enrolled in Medicare?

Yes. Integrated Dermatology Of Bluefield, PLLC is registered in the Medicare PECOS enrollment system.

When is Integrated Dermatology Of Bluefield, PLLC'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 (West Virginia, Clinic/Group Practice) is due for revalidation by November 30, 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 Integrated Dermatology Of Bluefield, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Integrated Dermatology Of Bluefield, 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. The largest specialties are Nurse Practitioner (6), Dermatology (2) and Physician Assistant (2). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Integrated Dermatology Of Bluefield, PLLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Integrated Dermatology Of Bluefield, 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 Integrated Dermatology Of Bluefield, PLLC was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.