DR. ROLLA JABER M.D.
NPI 1174724876
Dermatology in Fairfax, VA
About Dr. Rolla Jaber M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROLLA JABER M.D. (NPI 1174724876) is an individual dermatology provider in Fairfax, Virginia, licensed in Virginia (0101242253) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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. Rolla Jaber 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.
Medicare Billing Reassignment
Medicare enrollment records show Rolla Jaber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, VA 20155
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Medicare enrollment name: Renewal Dermatology & Medspa PC
- 14 clinicians in this Medicare group
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 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
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 Rolla Jaber's NPI number?
The NPI number for Rolla Jaber is 1174724876. It was assigned to this individual provider in the NPPES registry on May 30, 2007. The provider is also known as Rolla Nabih Abdul-Khalek.
Where is Rolla Jaber located?
Rolla Jaber practices at 3700 Joseph Siewick Dr Suite 403, Fairfax, VA 22033. The listed phone number is (703) 648-2488.
What is Rolla Jaber's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Rolla Jaber enrolled in Medicare?
Yes. Rolla Jaber 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 Rolla Jaber's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rolla Jaber reassigns Medicare benefits to Renewal Dermatology & Medspa, P.C. (Gainesville, 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 Rolla Jaber'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 Rolla Jaber was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Rolla Jaber, M.D. · NPI 1174724876
Dermatology physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since May 30, 2007.
## Identity
- **NPI:** 1174724876 (Entity type: Individual)
- **Enumerated:** May 30, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 0101242253 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3700 JOSEPH SIEWICK DR, SUITE 403, Fairfax, VA 22033-1744
- **Phone:** (703) 648-2488 · **Fax:** (703) 648-2489
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Renewal Dermatology & Medspa, P.C. (NPI 1619232469, Gainesville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** May 20, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1174724876) · Data from the CMS NPPES public registry.