Active NPI
Cutaneous Pathology, P.a.
- Dermatopathology (Pathology) Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 138498
- Legal business name
- CUTANEOUS PATHOLOGY, P.A.
- Practice address
- 1800 S Hawthorne Rd Ste 200
Winston Salem, NC 27103-4014 - Phone
- (336) 760-1388
- Fax
- (336) 760-1398
- NPI assigned
- Aug 21, 2008
- Last updated
- Dec 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omar Pastor Sangueza, MD
- Title
- President
- Phone
- (336) 760-1388
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 138498 | NC | Primary |
Addresses
Primary practice location
1800 S Hawthorne Rd Ste 200
Winston Salem, NC 27103-4014
Mailing address
PO Box 306648
Nashville, TN 37230-6648
Phone (336) 760-1388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QPB748 | Medicaid | SC | |
| 5950703 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1087769 | Cutaneous Pathology | Accreditation | Sep 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
1900 S Hawthorne Rd
Ste 366
Winston Salem, NC 27103
Phone (336) 760-1388
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dermatopathology (Pathology) Physician
- Winston Salem, NC
- NPI 1770569436
-
- Dermatopathology (Pathology) Physician
- Winston Salem, NC
- NPI 1942407291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1881841856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306648",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306648",
"telephone_number": "336-760-1388",
"fax_number": "336-760-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 S HAWTHORNE RD STE 200",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034014",
"telephone_number": "336-760-1388",
"fax_number": "336-760-1398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUTANEOUS PATHOLOGY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-21",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "SANGUEZA",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "PASTOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-760-1388",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NC",
"license": "138498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QPB748",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950703",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.