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KINDRED HAIR & SKIN CENTER, LLC
NPI 1992220826
Dermatology in Marriottsville, MD

Active since August 11, 2017
11125 STRATFIELD CT, MARRIOTTSVILLE, MD 21104(443) 424-7754(443) 424-7755 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 2, 2025, Nov 28, 2017, Oct 31, 2017 and 2 more (5 updates tracked since 2017).

About Kindred Hair & Skin Center, Llc NPPES

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

KINDRED HAIR & SKIN CENTER, LLC (NPI 1992220826) is a healthcare organization registered as a dermatology in Marriottsville, Maryland and active in the NPI registry since August 2017. The organization lists Chesahna Kindred, President, as its authorized official.

NPPES Registry Identity

NPI1992220826
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKINDRED HAIR & SKIN CENTER, LLC
Location Address11125 STRATFIELD CTMarriottsville, MD 21104-1650
Mailing Address11125 Stratfield CtMarriottsville, MD 21104-1650 · (443) 424-7754 · Fax (443) 424-7755
Phone(443) 424-7754
Fax(443) 424-7755
Organization SubpartNo
Authorized OfficialChesahna KindredPresident · (443) 424-7754
Enumeration DateAugust 11, 2017
Last NPPES UpdateApril 2, 20255 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1992220826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MD · D74753
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.
11125 STRATFIELD CT, Marriottsville, MD 21104
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kindred Hair & Skin Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kindred Hair & Skin Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chesahna Kindred Weaver, MD
Dermatology
NPI 1518193630
11125 STRATFIELD CT
Marriottsville, MD 21104
(443) 424-7754
✔ PECOS✔ Accepts MedicareSame address
Beverly Johnson, MD
Dermatology
NPI 1255434742
2000 MEADE PKWY
Suffolk, VA 23434
(757) 934-9395
✔ PECOS✔ Accepts Medicare176 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 for Provider-Performed Microscopy Procedures (PPMP) 21D2142637

Kindred Hair & Skin Center, LLC · Marriottsville, MD
Expired · Oct 15, 2026
CLIA Number21D2142637
Laboratory TypeClinical Research Site
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorChesahna Kindred
Laboratory Phone(443) 424-7754
Laboratory LocationKindred Hair & Skin Center, LLC11115 Stratfield Court, Marriottsville, MD 21104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Kindred Hair & Skin Center, LLC's NPI number?

The NPI number for Kindred Hair & Skin Center, LLC is 1992220826. It was assigned to this organization in the NPPES registry on August 11, 2017.

Where is Kindred Hair & Skin Center, LLC located?

Kindred Hair & Skin Center, LLC is located at 11125 Stratfield Ct, Marriottsville, MD 21104. The listed phone number is (443) 424-7754.

What is Kindred Hair & Skin Center, LLC's specialty?

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

Is Kindred Hair & Skin Center, LLC enrolled in Medicare?

Yes. Kindred Hair & Skin Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kindred Hair & Skin Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Kindred Hair & Skin Center, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kindred Hair & Skin Center, LLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.