1. Home
  2. Directory
  3. Virginia
  4. Reston
  5. Dermatology
  6. NPI Profile

DERMATOLOGY SPECIALISTS OF VIRGINIA PC
NPI 1083688238
Dermatology in Reston, VA

Active since February 15, 2006CLIA 49D0963816 · Certificate of Compliance
1800 TOWN CENTER DR, STE 415, RESTON, VA 20190(703) 709-1492(703) 709-5111 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology Specialists Of Virginia Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY SPECIALISTS OF VIRGINIA PC (NPI 1083688238), doing business as Sebastien Dermatology Pc, is a healthcare organization registered as a dermatology in Reston, Virginia and active in the NPI registry since February 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 19, 2027 and lists Theodore Stewart Sebastien, Ceo President, as its authorized official.

NPPES Registry Identity

NPI1083688238
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS OF VIRGINIA PC
Location Address1800 TOWN CENTER DR, STE 415Reston, VA 20190
Mailing Address1800 Town Center Dr, Ste 415Reston, VA 20190 · (703) 709-1492 · Fax (703) 709-5111
Phone(703) 709-1492
Fax(703) 709-5111
Organization SubpartNo
Authorized OfficialTheodore Stewart SebastienCeo President · (703) 709-1492
Enumeration DateFebruary 15, 2006
Last NPPES UpdateOctober 7, 2010
✔ NPI 1083688238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1800 TOWN CENTER DR, Reston, VA 20190
Open in Google Maps ↗

Other Names 1

Former Legal Business NameSebastien Dermatology Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Specialists Of Virginia Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermatology Specialists Of Virginia PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Theodore Sebastien, MD
Dermatology
NPI 1568433860
1800 TOWN CENTER DRIVE STE 415
Reston, VA 20190
(703) 709-1492
✔ PECOS✔ Accepts MedicareSame address
Ilene Bayer-Garner, MD
Pathology
NPI 1003895764
285 BERRYWOOD DR
Severna Park, MD 21146
(443) 926-4251
✔ PECOS✔ Accepts Medicare45 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 49D0963816

Dermatology Specialists Of Virginia, PC · Reston, VA
Active · expires Apr 19, 2027
CLIA Number49D0963816
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorTheodore S. Sebastien
Laboratory Phone(703) 709-1492
Laboratory LocationDermatology Specialists Of Virginia, PC1800 Town Center Drive - Suite 415, Reston, VA 20190
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Specialists Of Virginia PC's NPI number?

The NPI number for Dermatology Specialists Of Virginia PC is 1083688238. It was assigned to this organization in the NPPES registry on February 15, 2006. The provider was formerly known as Sebastien Dermatology PC.

Where is Dermatology Specialists Of Virginia PC located?

Dermatology Specialists Of Virginia PC is located at 1800 Town Center Dr Ste 415, Reston, VA 20190. The listed phone number is (703) 709-1492.

What is Dermatology Specialists Of Virginia PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dermatology Specialists Of Virginia PC enrolled in Medicare?

Yes. Dermatology Specialists Of Virginia PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Specialists Of Virginia PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dermatology Specialists Of Virginia PC, in Dermatology and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology Specialists Of Virginia PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D0963816) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Specialists Of Virginia PC was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.