MCLEAN DERMATOLOGY AND SKINCARE CENTER
NPI 1255645776
Clinic/Center - Medical Specialty in Mc Lean, VA
About Mclean Dermatology And Skincare Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCLEAN DERMATOLOGY AND SKINCARE CENTER (NPI 1255645776) is a healthcare organization registered as a medical specialty in Mc Lean, Virginia and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through September 22, 2028 and lists Lily Talakoub, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mclean Dermatology And Skincare Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Mclean Dermatology And Skincare Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Waiver 49D2013735
Mclean Dermatology And Skin Care Center, PLLC · Mclean, VAFrequently 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 Mclean Dermatology And Skincare Center's NPI number?
The NPI number for Mclean Dermatology And Skincare Center is 1255645776. It was assigned to this organization in the NPPES registry on July 27, 2010.
Where is Mclean Dermatology And Skincare Center located?
Mclean Dermatology And Skincare Center is located at 6849 Old Dominion Dr Ste 450, Mc Lean, VA 22101. The listed phone number is (703) 356-5111.
What is Mclean Dermatology And Skincare Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Mclean Dermatology And Skincare Center enrolled in Medicare?
Yes. Mclean Dermatology And Skincare Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mclean Dermatology And Skincare Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Mclean Dermatology And Skincare Center. 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. The largest specialties are Dermatology (6), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mclean Dermatology And Skincare Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2013735) is associated with this NPI, valid through September 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mclean Dermatology And Skincare Center was last updated on July 2, 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.
# Mclean Dermatology And Skincare Center · NPI 1255645776
Medical Specialty organization in Mc Lean, Virginia. Organization record, active in the CMS NPPES registry since July 27, 2010.
## Identity
- **NPI:** 1255645776 (Entity type: Organization)
- **Enumerated:** July 27, 2010
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Lily Talakoub, OWNER
## Practice location
- **Address:** 6849 OLD DOMINION DR STE 450, Mc Lean, VA 22101-3718
- **Phone:** (703) 356-5111 · **Fax:** (703) 388-0873
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Micrographic Dermatologic Surgery (MDS) (1), Nurse Practitioner (1); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255645776) · Data from the CMS NPPES public registry.