PENNSYLVANIA DERMATOLOGY GROUP, P.C.
NPI 1942357454
Dermatology in Huntingdon Valley, PA
About Pennsylvania Dermatology Group, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENNSYLVANIA DERMATOLOGY GROUP, P.C. (NPI 1942357454) is a healthcare organization registered as a dermatology in Huntingdon Valley, Pennsylvania and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 13, 2028 and lists Samuel Chachkin, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Group Practice 1
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)
Pennsylvania Dermatology Group, P.c. 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.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Pennsylvania Dermatology Group, P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Huntingdon Valley, PA 19006
Huntingdon Valley, PA 19006
Huntingdon Valley, PA 19006
Huntingdon Valley, PA 19006
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 39D2041618
Pennsylvania Dermatology Group, PC · Huntingdon Valley, PAFrequently 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 Pennsylvania Dermatology Group, P.C.'s NPI number?
The NPI number for Pennsylvania Dermatology Group, P.C. is 1942357454. It was assigned to this organization in the NPPES registry on January 5, 2007.
Where is Pennsylvania Dermatology Group, P.C. located?
Pennsylvania Dermatology Group, P.C. is located at 2301 Huntingdon Pike Suite 202, Huntingdon Valley, PA 19006. The listed phone number is (215) 947-7500.
What is Pennsylvania Dermatology Group, P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Pennsylvania Dermatology Group, P.C. enrolled in Medicare?
Yes. Pennsylvania Dermatology Group, P.C. is registered in the Medicare PECOS enrollment system.
When is Pennsylvania Dermatology Group, P.C.'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 (Pennsylvania, 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 Pennsylvania Dermatology Group, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Pennsylvania Dermatology Group, P.C.. 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 (8) and Pathology (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pennsylvania Dermatology Group, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 39D2041618) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pennsylvania Dermatology Group, P.C. accept?
Health plans from Moda Health Plan, Inc. list Pennsylvania Dermatology Group, P.C. 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 Pennsylvania Dermatology Group, P.C. was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.
# Pennsylvania Dermatology Group, P.c. · NPI 1942357454
Dermatology organization in Huntingdon Valley, Pennsylvania. Organization record, active in the CMS NPPES registry since January 5, 2007.
## Identity
- **NPI:** 1942357454 (Entity type: Organization)
- **Enumerated:** January 5, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Chachkin, MD
## Practice location
- **Address:** 2301 HUNTINGDON PIKE, SUITE 202, Huntingdon Valley, PA 19006-6130
- **Phone:** (215) 947-7500 · **Fax:** (215) 947-7501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (8), Pathology (2); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2026
- **Other identifiers:** Other 0073470000 (PA); Other 123121 (PA); Other 969482 (PA); and 1 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1942357454) · Data from the CMS NPPES public registry.