Penobscot Valley Dermatology, P.A.
NPI 1952536880 · Specialist · Bangor, ME
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Penobscot Valley Dermatology, P.A. is a Specialist organization in Bangor, ME (NPI 1952536880).
Provider details
- NPI number
- 1952536880
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Pittis, Dermatologist(207) 942-0669
- License
- ME013153 (ME)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-05-21
- Last updated
- 2009-06-03
Frequently asked questions
- What is Penobscot Valley Dermatology, P.A.'s NPI number?
- Penobscot Valley Dermatology, P.A.'s National Provider Identifier (NPI) is 1952536880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Penobscot Valley Dermatology, P.A.?
- Penobscot Valley Dermatology, P.A. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Penobscot Valley Dermatology, P.A. located?
- Penobscot Valley Dermatology, P.A.'s practice location on file with NPPES is 90 Ridgewood Drive, Bangor, ME 04401-2652.
- What is Penobscot Valley Dermatology, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Penobscot Valley Dermatology, P.A. is (207) 942-0669.
- Does Penobscot Valley Dermatology, P.A. accept Medicare?
- Penobscot Valley Dermatology, P.A. 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 Penobscot Valley Dermatology, P.A.?
- The authorized official listed on Penobscot Valley Dermatology, P.A.'s NPPES record is Jeffrey Pittis, Dermatologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Penobscot Valley Dermatology, P.A.'s NPI active?
- Yes — Penobscot Valley Dermatology, P.A.'s NPI (1952536880) is active in the NPPES registry as of the last update on 2009-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.