Integrated Dermatology of K Street LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATED DERMATOLOGY OF K STREET LLC

Practice address

2021 K St NW Ste 206
Washington, DC 20006-1041

Phone

(561) 314-2000

NPI assigned

Aug 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adam Plotkin, M.D.NPI 1306896105

Title

MGR

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Michael Alberto Bell, MD

  • Dermatology Physician
  • Washington, DC
  • NPI 1447767397
  Medicare reassignment Care Compare group NPD
• Lauren McKelroy

  • Dermatology Physician
  • Washington, DC
  • NPI 1013351436
  Medicare reassignment Care Compare group NPD
• Victoria Hatfield, PA-C

  • Physician Assistant
  • Washington, DC
  • NPI 1013302892
  Medicare reassignment Care Compare group
• Mirabella M. Muller, PA

  • Physician Assistant
  • Washington, DC
  • NPI 1497230320
  Medicare reassignment Care Compare group
• Grace Christine Berardini, PA-C

  • Physician Assistant
  • Leesburg, VA
  • NPI 1457825093

  DC

  Medicare reassignment Care Compare group
• Nicole Marie Masson, PA-C

  • Physician Assistant
  • Edgewater, MD
  • NPI 1063749422

  DC

  Medicare reassignment Care Compare group
• Hyland Elizabeth Cronin, M.D.

  • Dermatology Physician
  • Chevy Chase, MD
  • NPI 1356500011

  DC, Single Specialty

  Medicare reassignment NPD
• Adam S Plotkin, MD

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1306896105
  NPD (past) Authorized official
• Agnes Ju Chang, M.D., F.A.A.D.

  • Dermatology Physician
  • Washington, DC
  • NPI 1245358985
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1053567206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 206",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061041",
            "telephone_number": "561-314-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF K STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrated Dermatology of Mass Ave, LLC
• Integrated Health Services D.C., LLC (Leyla M Sandler, LICSW)
• Integrated Vision Healthcare Inc
• Integrated Wellness DC, LLC
• Integrative Behavioral Supports Inc.

• Dermatology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Dermatology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.