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

FREIDRICH DATU ANSELMO MD
NPI 1215565965
Dermatology in Fairfax, VA

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
3025 HAMAKER CT STE 340, FAIRFAX, VA 22031(703) 849-8036(703) 204-3448 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Jul 3, 2021, Jun 21, 2021 and 1 more (4 updates tracked since 2020).

About Freidrich Datu Anselmo Md NPPES

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

FREIDRICH DATU ANSELMO MD (NPI 1215565965) is an individual dermatology provider in Fairfax, Virginia, licensed in Virginia (0101279799) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfax, and is a graduate of University Of Maryland School Of Medicine (2020).

NPPES Registry Identity

NPI1215565965
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameFREIDRICH DATU ANSELMOCredential: MD
Location Address3025 HAMAKER CT STE 340Fairfax, VA 22031-2237
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(703) 849-8036
Fax(703) 204-3448
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateJanuary 13, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1215565965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in VA · 0101279799
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.
3025 HAMAKER CT STE 340, Fairfax, VA 22031
Open in Google Maps ↗

Secondary Practice Location 1

Location 13025 Hamaker Ct Ste 300Fairfax, VA 22031-2237 · Phone (703) 849-8036 · Fax (703) 204-3448

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Freidrich Datu Anselmo Md 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 ID42615775
PECOS Enrollment IDI20240507002367
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.

Areas of Expertise CMS Part B claims 4

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
61 services11 patients
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.
29 services29 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
17 services17 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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 3

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

AMANDA UNALIVIA BURACKER PA-C
Physician Assistant
3025 HAMAKER CT STE 340
FAIRFAX, VA 22031
Fairfax County (703) 849-8036
FOREFRONT DERMATOLOGY SC
Dermatology
3025 HAMAKER CT STE 340
FAIRFAX, VA 22031
Fairfax County (703) 849-8036
SAUNDRA L SEAMAN MD
Dermatology
3025 HAMAKER CT STE 340
FAIRFAX, VA 22031
Fairfax County (703) 849-8036

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 Freidrich Anselmo's NPI number?

The NPI number for Freidrich Anselmo is 1215565965. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Freidrich Anselmo located?

Freidrich Anselmo practices at 3025 Hamaker Ct Ste 340, Fairfax, VA 22031. The listed phone number is (703) 849-8036.

What is Freidrich Anselmo's specialty?

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

Is Freidrich Anselmo enrolled in Medicare?

Yes. Freidrich Anselmo 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.

When was this NPI record last updated?

The NPPES record for Freidrich Anselmo was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.