Organization Active NPI

Center for Dermatology and Dermatologic Surgery, the Professional Aesthetic Image Center P C

Doing business as Center for Dermatology and Dermatologic Surgery

  • Procedural Dermatology Physician
  • Washington, DC
National Provider Identifier
1255526901
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
CENTER FOR DERMATOLOGY AND DERMATOLOGIC SURGERY, THE PROFESSIONAL AESTHETIC IMAGE CENTER P C
Doing business as
Center for Dermatology and Dermatologic Surgery
Practice address
2311 M Street, NW
Suite 504
Washington, DC 20037-1445
Phone
(202) 955-5757
Fax
(202) 955-5797
NPI assigned
Sep 6, 2007
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Cheryl Marie Burgess, MDNPI 1881756872
Title
Medical Director
Phone
(202) 955-5757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X Primary

Addresses

Primary practice location

2311 M Street, NW
Suite 504
Washington, DC 20037-1445

Mailing address

2311 M St NW Ste 504
2311 M Street NW Suite 504
Washington, DC 20037-1495
Phone (202) 955-5757

Other practice location 1

167 Jennifer Rd Ste W
Annapolis, MD 21401-7910
Phone (410) 224-1195

Other identifiers 1

IdentifierTypeStateIssuer
G00005OtherDCMEDICARE

Other names 1

  • Center for Dermatology and Dermatologic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000055 DC Part B Supplier - Clinic/Group Practice 2264322270 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, DC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D2009565Center for Dermatologic Surgery2311 M Street NW Ste 504, Washington, DC 20037Provider-performed microscopyJan 18, 2028

National Provider Directory

National Provider Directory

Locations

2311 M St NW
Ste 504
Washington, DC 20037
Phone (202) 955-5757

167 Jennifer Rd
Annapolis, MD 21401
Phone (410) 224-1195

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1255526901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 M ST NW STE 504",
            "address_2": "2311 M STREET NW SUITE 504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371495",
            "telephone_number": "202-955-5757",
            "fax_number": "202-955-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 M STREET, NW",
            "address_2": "SUITE 504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371445",
            "telephone_number": "202-955-5757",
            "fax_number": "202-955-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Jennifer Rd Ste W",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017910",
            "country_code": "US",
            "telephone_number": "410-224-1195",
            "fax_number": "202-955-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR DERMATOLOGY AND DERMATOLOGIC SURGERY, THE PROFESSIONAL AESTHETIC IMAGE CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-955-5757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G00005",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dermatology and Dermatologic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.