Dermatology Associates of Richmond – Dermatology Physician, NPI 1316952716
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Dermatology Associates of Richmond
201 CONCOURSE BLVD STE 200
GLEN ALLEN, VA 230595640
Phone: (804) 549-4030
Fax: (804) 549-4032
Type: Mailing
201 CONCOURSE BLVD STE 110
GLEN ALLEN, VA 23059
Phone: (804) 549-4025
Type: Location
10800 Midlothian Tpke Ste 309
North Chesterfield, VA 232354796
Phone: (804) 794-2307
Type: Location
280 Charles H Dimmock Pkwy Ste 4
Colonial Heights, VA 238342940
Phone: (804) 526-7364
Type: Location
7498 Right Flank Rd
Mechanicsville, VA 231163834
Phone: (804) 549-4040
Fax: (804) 549-4032
Type: Location
7201 GLEN FOREST DR STE 100
RICHMOND, VA 232263759
Phone: (804) 549-4030
Fax: (804) 549-4032
Type: Mailing
6946 FOREST AVE STE 200
RICHMOND, VA 232301706
Phone: (804) 549-4030
Fax: (804) 549-4032
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: 2004-04-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040427001687 | O | Clinic/Group Practice | VA | 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 23059)
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