SOUTHERN CONNECTICUT DERMATOLOGY, P.C.
NPI 1992879795
Dermatology in Stamford, CT
About Southern Connecticut Dermatology, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN CONNECTICUT DERMATOLOGY, P.C. (NPI 1992879795) is a healthcare organization registered as a dermatology in Stamford, Connecticut and active in the NPI registry since November 2006. The organization lists Robin D. Evans, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Group Practice 1
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)
Southern Connecticut Dermatology, P.c. 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 Southern Connecticut Dermatology, P.C., 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 Southern Connecticut Dermatology, P.C.'s NPI number?
The NPI number for Southern Connecticut Dermatology, P.C. is 1992879795. It was assigned to this organization in the NPPES registry on November 20, 2006.
Where is Southern Connecticut Dermatology, P.C. located?
Southern Connecticut Dermatology, P.C. is located at 1275 Summer Street Suite 101, Stamford, CT 06905. The listed phone number is (203) 323-5660.
What is Southern Connecticut Dermatology, P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Southern Connecticut Dermatology, P.C. enrolled in Medicare?
Yes. Southern Connecticut Dermatology, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Connecticut Dermatology, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Southern Connecticut Dermatology, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Connecticut Dermatology, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list Southern Connecticut Dermatology, 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 Southern Connecticut Dermatology, P.C. was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Southern Connecticut Dermatology, P.c. · NPI 1992879795
Dermatology organization in Stamford, Connecticut. Organization record, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1992879795 (Entity type: Organization)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Robin Evans, OWNER
## Practice location
- **Address:** 1275 SUMMER STREET, SUITE 101, Stamford, CT 06905
- **Phone:** (203) 323-5660 · **Fax:** (203) 323-8224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 070000341 (CT); Medicare PIN 070000341 (CT); Medicare UPIN E46249 (CT); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1992879795) · Data from the CMS NPPES public registry.