Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rita Otilia Pichardo, MD

Individual provider Dermatology Physician · NPI 1255316311

Rita Otilia Pichardo, MD is a Dermatology in Winston Salem, North Carolina. Qualified in 1985, 41 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
41
Licensed in
NC
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4618 Country Club Rd
Winston Salem, NC 27104-3520
Phone: (336) 716-2255
Fax: (336) 716-9258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5826 Samet Dr, High Point, NC 27265-3660 — (336) 905-6300

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 200500140 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence 200500140 (NC)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence 200500140 (NC)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 200500140 (NC)

Record details

NPI number1255316311
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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