Organization Active NPI

Chevy Chase Dermatology, LLC

  • Dermatology Physician
  • Chevy Chase, MD
National Provider Identifier
1407035165
Registry record updated Aug 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0061245 Issued in MD
Legal business name
CHEVY CHASE DERMATOLOGY, LLC
Practice address
5530 Wisconsin Ave Ste 830
Chevy Chase, MD 20815-4461
Phone
(301) 656-7546
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2008

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

Authorized official

Name
Dr. Margaret Litwin Sommerville, M.D.NPI 1861671505
Title
Medical Director
Phone
(301) 656-7546

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X D0061245 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 830
Chevy Chase, MD 20815-4461

Mailing address

5530 Wisconsin Ave Ste 830
Chevy Chase, MD 20815-4461
Phone (301) 656-7546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000374 DC Part B Supplier - Clinic/Group Practice 5294804316 Receives reassigned benefits from 1 practitioner
Practice locations: Chevy Chase, MD

National Provider Directory

National Provider Directory

Locations

5530 Wisconsin Ave
Ste 830
Chevy Chase, MD 20815
Phone (301) 656-7546

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218326400000",
    "number": "1407035165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 830",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154461",
            "telephone_number": "301-656-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 830",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154461",
            "telephone_number": "301-656-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVY CHASE DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-08-10",
        "status": "A",
        "authorized_official_last_name": "SOMMERVILLE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "LITWIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-656-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0061245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.