ELITE DERMATOLOGY AND ESTHETICS LLC
NPI 1972374064
Dermatology in Vienna, VA
About Elite Dermatology And Esthetics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE DERMATOLOGY AND ESTHETICS LLC (NPI 1972374064) is a healthcare organization registered as a dermatology in Vienna, Virginia and active in the NPI registry since January 2024. The organization lists Saleh Rachidi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elite Dermatology And Esthetics Llc 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 Elite Dermatology And Esthetics LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Elite Dermatology And Esthetics LLC's NPI number?
The NPI number for Elite Dermatology And Esthetics LLC is 1972374064. It was assigned to this organization in the NPPES registry on January 9, 2024.
Where is Elite Dermatology And Esthetics LLC located?
Elite Dermatology And Esthetics LLC is located at 8100 Boone Blvd Ste 230, Vienna, VA 22182. The listed phone number is (703) 495-5555.
What is Elite Dermatology And Esthetics LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Elite Dermatology And Esthetics LLC enrolled in Medicare?
Yes. Elite Dermatology And Esthetics LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Dermatology And Esthetics LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Elite Dermatology And Esthetics LLC. 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.
When was this NPI record last updated?
The NPPES record for Elite Dermatology And Esthetics LLC was last updated on January 9, 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.