Mid Atlantic Dermatology
NPI 1073605333 · Dermatology Physician · Chesapeake, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mid Atlantic Dermatology is a Dermatology Physician organization in Chesapeake, VA (NPI 1073605333).
Provider details
- NPI number
- 1073605333
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rose Waller, Billing Manager(757) 547-9830
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2008-07-09
Frequently asked questions
- What is Mid Atlantic Dermatology's NPI number?
- Mid Atlantic Dermatology's National Provider Identifier (NPI) is 1073605333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid Atlantic Dermatology?
- Mid Atlantic Dermatology is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mid Atlantic Dermatology located?
- Mid Atlantic Dermatology's practice location on file with NPPES is 109 Wimbledon Sq, Chesapeake, VA 23320-4945.
- What is Mid Atlantic Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Mid Atlantic Dermatology is (757) 547-9830.
- Does Mid Atlantic Dermatology accept Medicare?
- Mid Atlantic Dermatology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mid Atlantic Dermatology?
- The authorized official listed on Mid Atlantic Dermatology's NPPES record is Rose Waller, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid Atlantic Dermatology's NPI active?
- Yes — Mid Atlantic Dermatology's NPI (1073605333) is active in the NPPES registry as of the last update on 2008-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.