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DR. AMANDA DERWAE M.D.
NPI 1164796942
Dermatology in Fairfax, VA

Active since February 27, 2012PECOS EnrolledAccepts Medicare Assignment
10680 MAIN ST STE 200, FAIRFAX, VA 22030(703) 352-2620(703) 352-2594 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 4, 2026, May 8, 2024, Aug 6, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Amanda Derwae M.d. NPPES

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

DR. AMANDA DERWAE M.D. (NPI 1164796942) is an individual dermatology provider in Fairfax, Virginia, licensed in Virginia (0101280445) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2012).

NPPES Registry Identity

NPI1164796942
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. AMANDA DERWAECredential: M.D.
Location Address10680 MAIN ST STE 200Fairfax, VA 22030-3810
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (703) 352-2620 · Fax (703) 352-2594
Phone(703) 352-2620
Fax(703) 352-2594
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2012
Enumeration DateFebruary 27, 2012
Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1164796942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in VA · 0101280445✔ Licensed in NE · 27508
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.
10680 MAIN ST STE 200, Fairfax, VA 22030
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Other Names 1

Former Name (1)Dr. Amanda Elam M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amanda Derwae M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416277710
PECOS Enrollment IDI20240423002174
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Derwae reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Dermatology Of Fairfax, LLC
Same address
Dermatology
10680 MAIN ST STE 200
Fairfax, VA 22030
  • Reassigned Medicare billing, District of Columbia enrollment
  • 5 clinicians in this Medicare group
NPI 1861890303 (703) 352-2620

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services18 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
22 services21 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
20 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLEY PAGLIAI REDBORD MD
Dermatology
10680 MAIN ST STE 200
FAIRFAX, VA 22030
Fairfax City (703) 352-2620
REBECCA THERESA SATOSKAR MD
Dermatology
10680 MAIN ST STE 200
FAIRFAX, VA 22030
Fairfax City (703) 352-2620
INTEGRATED DERMATOLOGY OF FAIRFAX, LLC
Dermatology
10680 MAIN ST STE 200
FAIRFAX, VA 22030
Fairfax City (703) 352-2620
DR. RAINA BEMBRY MD
Dermatology
10680 MAIN ST STE 200
FAIRFAX, VA 22030
Fairfax City (703) 352-2620

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 Amanda Derwae's NPI number?

The NPI number for Amanda Derwae is 1164796942. It was assigned to this individual provider in the NPPES registry on February 27, 2012. The provider is also known as Dr. Amanda Elam M.D..

Where is Amanda Derwae located?

Amanda Derwae practices at 10680 Main St Ste 200, Fairfax, VA 22030. The listed phone number is (703) 352-2620.

What is Amanda Derwae's specialty?

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

Is Amanda Derwae enrolled in Medicare?

Yes. Amanda Derwae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amanda Derwae's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Derwae reassigns Medicare benefits to Integrated Dermatology Of Fairfax, LLC (Fairfax, VA). The 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 Amanda Derwae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Derwae was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.