Dermwellesley LLC
NPI 1811478092 · Dermatology Physician · Wellesley, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermwellesley LLC is a Dermatology Physician organization in Wellesley, MA (NPI 1811478092).
Provider details
- NPI number
- 1811478092
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emily Wise, Owner(857) 317-2057
- License
- 254256 (MA)
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
7 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
- 2018-08-24
- Last updated
- 2019-01-03
Frequently asked questions
- What is Dermwellesley LLC's NPI number?
- Dermwellesley LLC's National Provider Identifier (NPI) is 1811478092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermwellesley LLC?
- Dermwellesley LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermwellesley LLC located?
- Dermwellesley LLC's practice location on file with NPPES is 20 William St, Wellesley, MA 02481-4103.
- What is Dermwellesley LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermwellesley LLC is (781) 591-4234.
- Does Dermwellesley LLC accept Medicare?
- Dermwellesley 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 Dermwellesley LLC?
- The authorized official listed on Dermwellesley LLC's NPPES record is Emily Wise, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermwellesley LLC's NPI active?
- Yes — Dermwellesley LLC's NPI (1811478092) is active in the NPPES registry as of the last update on 2019-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.