DERMATOLOGY ASSOCIATES OF SOUTHWEST WASHINGTON, PLLC
NPI 1992938906
Clinic/Center - Medical Specialty in Vancouver, WA
About Dermatology Associates Of Southwest Washington, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY ASSOCIATES OF SOUTHWEST WASHINGTON, PLLC (NPI 1992938906) is a healthcare organization registered as a medical specialty in Vancouver, Washington and active in the NPI registry since August 2009. The organization lists Joel H Datloff, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Dermatology Associates Of Southwest Washington, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermatology Associates Of Southwest Washington, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Vancouver, WA 98664
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 Dermatology Associates Of Southwest Washington, PLLC's NPI number?
The NPI number for Dermatology Associates Of Southwest Washington, PLLC is 1992938906. It was assigned to this organization in the NPPES registry on August 25, 2009.
Where is Dermatology Associates Of Southwest Washington, PLLC located?
Dermatology Associates Of Southwest Washington, PLLC is located at 8614 E Mill Plain Blvd Suite 400, Vancouver, WA 98664. The listed phone number is (360) 254-5267.
What is Dermatology Associates Of Southwest Washington, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Dermatology Associates Of Southwest Washington, PLLC enrolled in Medicare?
Yes. Dermatology Associates Of Southwest Washington, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Associates Of Southwest Washington, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology Associates Of Southwest Washington, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dermatology Associates Of Southwest Washington, PLLC accept?
Health plans from Moda Health Plan, Inc. list Dermatology Associates Of Southwest Washington, 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 Dermatology Associates Of Southwest Washington, PLLC was last updated on May 31, 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.
# Dermatology Associates Of Southwest Washington, Pllc · NPI 1992938906
Medical Specialty organization in Vancouver, Washington. Organization record, active in the CMS NPPES registry since August 25, 2009.
## Identity
- **NPI:** 1992938906 (Entity type: Organization)
- **Enumerated:** August 25, 2009
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Joel Datloff, OWNER
## Practice location
- **Address:** 8614 E MILL PLAIN BLVD, SUITE 400, Vancouver, WA 98664-2059
- **Phone:** (360) 254-5267 · **Fax:** (360) 254-6089
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2012
- **Other identifiers:** Medicaid 7065758 (WA); Medicare PIN 217128900 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1992938906) · Data from the CMS NPPES public registry.