Visage Dermatology and Aesthetic Center, LLC
NPI 1669716395 · Dermatology Physician · Largo, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Visage Dermatology and Aesthetic Center, LLC is a Dermatology Physician organization in Largo, MD (NPI 1669716395).
Provider details
- NPI number
- 1669716395
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sharleen St. Surin-Lord, Medical Director(240) 223-3533
- License
- D0065513 (MD)
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
13 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
- 2012-11-19
- Last updated
- 2012-12-20
Frequently asked questions
- What is Visage Dermatology and Aesthetic Center, LLC's NPI number?
- Visage Dermatology and Aesthetic Center, LLC's National Provider Identifier (NPI) is 1669716395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Visage Dermatology and Aesthetic Center, LLC?
- Visage Dermatology and Aesthetic Center, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Visage Dermatology and Aesthetic Center, LLC located?
- Visage Dermatology and Aesthetic Center, LLC's practice location on file with NPPES is 1400 Mercantile Ln, Largo, MD 20774-5341.
- What is Visage Dermatology and Aesthetic Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Visage Dermatology and Aesthetic Center, LLC is (240) 223-3533.
- Does Visage Dermatology and Aesthetic Center, LLC accept Medicare?
- Visage Dermatology and Aesthetic Center, 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 Visage Dermatology and Aesthetic Center, LLC?
- The authorized official listed on Visage Dermatology and Aesthetic Center, LLC's NPPES record is Sharleen St. Surin-Lord, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Visage Dermatology and Aesthetic Center, LLC's NPI active?
- Yes — Visage Dermatology and Aesthetic Center, LLC's NPI (1669716395) is active in the NPPES registry as of the last update on 2012-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.