Integrated Dermatology of Mass Ave, LLC
NPI 1417450883 · MOHS-Micrographic Surgery Physician · Washington, DC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Dermatology of Mass Ave, LLC is a MOHS-Micrographic Surgery Physician organization in Washington, DC (NPI 1417450883).
Provider details
- NPI number
- 1417450883
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adam Plotkin, Authorized Official(561) 314-2000
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
8 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
- 2018-03-13
- Last updated
- 2018-05-01
Frequently asked questions
- What is Integrated Dermatology of Mass Ave, LLC's NPI number?
- Integrated Dermatology of Mass Ave, LLC's National Provider Identifier (NPI) is 1417450883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of Mass Ave, LLC?
- Integrated Dermatology of Mass Ave, LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Dermatology of Mass Ave, LLC located?
- Integrated Dermatology of Mass Ave, LLC's practice location on file with NPPES is 4910 Massachusetts Ave Nw Ste 308, Washington, DC 20016-4382.
- What is Integrated Dermatology of Mass Ave, LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of Mass Ave, LLC is (202) 695-1000.
- Does Integrated Dermatology of Mass Ave, LLC accept Medicare?
- Integrated Dermatology of Mass Ave, LLC 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 Integrated Dermatology of Mass Ave, LLC?
- The authorized official listed on Integrated Dermatology of Mass Ave, LLC's NPPES record is Adam Plotkin, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of Mass Ave, LLC's NPI active?
- Yes — Integrated Dermatology of Mass Ave, LLC's NPI (1417450883) is active in the NPPES registry as of the last update on 2018-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.