Clinical Dermatology Center, LLC
NPI 1902428709 · Dermatology Physician · Chantilly, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clinical Dermatology Center, LLC is a Dermatology Physician organization in Chantilly, VA (NPI 1902428709).
Provider details
- NPI number
- 1902428709
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mikhail Pavlov, Practice Manager(410) 371-6302
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
6 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
- 2020-05-14
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Frequently asked questions
- What is Clinical Dermatology Center, LLC's NPI number?
- Clinical Dermatology Center, LLC's National Provider Identifier (NPI) is 1902428709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinical Dermatology Center, LLC?
- Clinical Dermatology Center, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Clinical Dermatology Center, LLC located?
- Clinical Dermatology Center, LLC's practice location on file with NPPES is 14500 Avion Pkwy Ste 100, Chantilly, VA 20151-1108.
- What is Clinical Dermatology Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clinical Dermatology Center, LLC is (703) 705-7000.
- Does Clinical Dermatology Center, LLC accept Medicare?
- Clinical Dermatology 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 Clinical Dermatology Center, LLC?
- The authorized official listed on Clinical Dermatology Center, LLC's NPPES record is Mikhail Pavlov, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinical Dermatology Center, LLC's NPI active?
- Yes — Clinical Dermatology Center, LLC's NPI (1902428709) is active in the NPPES registry as of the last update on 2020-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.