Shayan Cheraghlou, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101285793 Issued in VA

Practice address

725 S College Ave
Bluefield, VA 24605-1640

Phone

(276) 326-3376

NPI assigned

Apr 28, 2020

Last updated

Jun 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, WV, CT3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Yale University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Dermatology PCGroup PAC ID 7618228164, 6 clinicians

Integrated Dermatology of Bluefield PLLCGroup PAC ID 6800291360, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shayan.cheraghlou.1@8363.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modern Dermatology PC

  • Dermatology Physician
  • Westport, CT
  • NPI 1497258719
  Medicare reassignment Care Compare group NPD
• Integrated Dermatology of Bluefield, PLLC

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1902474422
  Medicare reassignment Care Compare group
• Derm One, PLLC

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1053493288

  WV

  Medicare reassignment NPD
• Dermatology Clinics of Southwest Virginias PLLC

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1255644373
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1336760677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051640",
            "telephone_number": "215-460-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051640",
            "telephone_number": "276-326-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Robert C Byrd Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012206",
            "country_code": "US",
            "telephone_number": "304-425-9435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-5506",
            "fax_number": "212-263-1003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1032 Post Rd E",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068805369",
            "country_code": "US",
            "telephone_number": "203-635-0770",
            "fax_number": "203-635-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERAGHLOU",
        "first_name": "SHAYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "35110",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CT",
            "license": "81146",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "709528",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101285793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiomed PLLC
• Carilion Rockbridge Community Hospital (Carilion Clinic Family Medicine RHC)
• Chad S Caskey, PA
• Fermin Castro, OTR
• Ashutosh Chandel, MD
• Choice Respiratory & Medical Equipment, Inc.
• Cline Family Dentistry, PLLC
• Lisa Cole
• Angela Louise Collins, FNP-BC
• Community Radiology of Virginia, Inc (Community Radiology of VA)

• Dermatology Physician in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.