SHAYAN CHERAGHLOU (MD) – Dermatology Physician, NPI 1336760677
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,287 DERMATOLOGY in TX
Provider Addresses for SHAYAN CHERAGHLOU (MD)
1400 N INTERSTATE 35 # CEC2.404
AUSTIN, TX 787011926
Phone: (512) 324-9999
Type: Location
550 1ST AVE
NEW YORK, NY 100166402
Phone: (212) 263-5506
Fax: (212) 263-1003
Type: Location
725 S COLLEGE AVE
BLUEFIELD, VA 246051640
Phone: (215) 460-2117
Type: Mailing
550 1st Ave
New York, NY 100166402
Phone: (212) 263-5506
Fax: (212) 263-1003
Type: Location
4130 Robert C Byrd Dr
Beckley, WV 258012206
Phone: (304) 425-9435
Type: Location
1032 Post Rd E
Westport, CT 068805369
Phone: (203) 635-0770
Fax: (203) 635-0771
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250602003484 | I | Micrographic Dermatologic Surgery (Mds) | VA | TBD |
| I20250603003749 | I | Dermatology | WV | TBD |
| I20250617000953 | I | Micrographic Dermatologic Surgery (Mds) | CT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Nurse Practitioner | WV | |
| Physician Assistant | WV | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| D E R M A T O L O G Y | VA |
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