ALEDA A. LONGWELL (MD) – Dermatology Physician, NPI 1093960643

ALEDA A. LONGWELL (MD) is a healthcare provider. based in Danville, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. A86547 (CA). The NPI Number for ALEDA A. LONGWELL (MD) is 1093960643

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
ALEDA A. LONGWELL (MD)
NPI
1093960643
Phone
(925) 838-4363
Address
360 ROSE AVE
Enumeration Date
24 November 2008
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
6503256000
Graduation Year
1999 (27 years ago)
PAC ID
8224193396
Group Practice PAC ID
0042407215
Professional Enrollment ID
I20090224000712
Address ID
CA940221090LO4300XREAL401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for ALEDA A. LONGWELL (MD)

  • 360, Rose Avenue, Danville, Contra Costa County, California, 94526, United States

    DANVILLE, CA 945263320

    Phone: (925) 838-4363

    Fax: (925) 838-4545

    Type: Mailing

  • 1320, El Capitan Drive, Danville, Contra Costa County, California, 94526, United States

    DANVILLE, CA 945266258

    Phone: (925) 838-4363

    Fax: (925) 838-4545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $2,432.

Total Amount is formed as General ($2,432) + Research ($0) + Ownership ($0) = $2,432.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($452).

Total Amount

$2,432

General + Research + Ownership

Payments

101

Total payment records

General Amount

$2,432

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090224000712IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths7014$0
99214Established patient office or other outpatient visit, 30-39 minutes5138$0
17110Destruction of skin growth, 1-14 growths3728$0
99213Established patient office or other outpatient visit, 20-29 minutes3327$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 94526)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042407215View full group profile
NameSpecialtyState
Nurse PractitionerNY
D E R M A T O L O G YOH
-CA
Physician AssistantCA
Physician AssistantNC
Physician AssistantCA
-CA
-NV
Physician AssistantCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

How is ALEDA A. LONGWELL (MD) identified in CMS data?
CMS-hosted NPPES data lists ALEDA A. LONGWELL (MD) with NPI 1093960643.
Can I rely on ALEDA A. LONGWELL (MD) being an active provider?
As of the registry snapshot, ALEDA A. LONGWELL (MD) is marked active.
What healthcare role does ALEDA A. LONGWELL (MD) hold?
Scheduling teams often label ALEDA A. LONGWELL (MD) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does ALEDA A. LONGWELL (MD) list a practice location?
Patients near Danville, California may find ALEDA A. LONGWELL (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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