Coastal Dermatology P.C.
NPI 1730405879 · Dermatology Physician · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Dermatology P.C. is a Dermatology Physician organization in Virginia Beach, VA (NPI 1730405879).
Provider details
- NPI number
- 1730405879
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Ingram Soderberg, President(757) 368-7546
- License
- 0101241129 (VA)
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
16 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
- 2010-04-14
- Last updated
- 2010-04-14
Frequently asked questions
- What is Coastal Dermatology P.C.'s NPI number?
- Coastal Dermatology P.C.'s National Provider Identifier (NPI) is 1730405879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Dermatology P.C.?
- Coastal Dermatology P.C. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Dermatology P.C. located?
- Coastal Dermatology P.C.'s practice location on file with NPPES is 3176 Holland Rd., Virginia Beach, VA 23453.
- What is Coastal Dermatology P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Coastal Dermatology P.C. is (757) 368-7546.
- Does Coastal Dermatology P.C. accept Medicare?
- Coastal Dermatology P.C. 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 Coastal Dermatology P.C.?
- The authorized official listed on Coastal Dermatology P.C.'s NPPES record is Kimberly Ingram Soderberg, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Dermatology P.C.'s NPI active?
- Yes — Coastal Dermatology P.C.'s NPI (1730405879) is active in the NPPES registry as of the last update on 2010-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.