OrganizationActive
Shah Dermatology LLC
NPI 1457164923 · Dermatology Physician · California, MD
Shah Dermatology LLC is a Dermatology Physician organization in California, MD (NPI 1457164923).
Provider details
- NPI number
- 1457164923
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Norris, Credentialing Coordinator(301) 373-7318
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
22590 Shady Ct
California, MD 20619-5009
Phone: (301) 994-8010
Fax: (301) 373-9197
Street-level locationGet directions
Mailing address
Po Box 640
Hollywood, MD 20636-0640
Other names (DBA / former)
- Former legal business name
- Shah Dermatology LLC
Registry dates
- Enumerated
- 2025-01-29
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Frequently asked questions
- What is Shah Dermatology LLC's NPI number?
- Shah Dermatology LLC's National Provider Identifier (NPI) is 1457164923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shah Dermatology LLC?
- Shah Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Shah Dermatology LLC located?
- Shah Dermatology LLC's practice location on file with NPPES is 22590 Shady Ct, California, MD 20619-5009.
- What is Shah Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Shah Dermatology LLC is (301) 994-8010.
- Who is the authorized official for Shah Dermatology LLC?
- The authorized official listed on Shah Dermatology LLC's NPPES record is Melissa Norris, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shah Dermatology LLC's NPI active?
- Yes — Shah Dermatology LLC's NPI (1457164923) is active in the NPPES registry as of the last update on 2025-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.