DERMATOLOGY & DERMATOLOGIC SURGERY GROUP OF NORTHERN VIRGINIA PLLC
NPI 1386810299
Dermatology in Vienna, VA

Active since May 01, 2008CLIA 49D0688186 · Certificate of Compliance
243 CHURCH ST NW, VIENNA, VA 22180(703) 969-9944 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dermatology & Dermatologic Surgery Group Of Northern Virginia Pllc NPPES

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

DERMATOLOGY & DERMATOLOGIC SURGERY GROUP OF NORTHERN VIRGINIA PLLC (NPI 1386810299) is a healthcare organization registered as a dermatology in Vienna, Virginia and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through May 26, 2028 and lists Linda P Nims, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1386810299
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY & DERMATOLOGIC SURGERY GROUP OF NORTHERN VIRGINIA PLLC
Location Address243 CHURCH ST NWVienna, VA 22180-4434
Mailing Address243 Church St NwVienna, VA 22180-4434 · (703) 969-9944
Organization SubpartNo
Authorized OfficialLinda P NimsSole Member · (703) 969-9944
Enumeration DateMay 1, 2008
Last NPPES UpdateSeptember 12, 2008
✔ NPI 1386810299 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.
243 CHURCH ST NW, Vienna, VA 22180

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 & Dermatologic Surgery Group Of Northern Virginia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1538166798
243 CHURCH ST NW SUITE 200 C
Vienna, VA 22180
(703) 938-5700
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1922005537
243 CHURCH ST NW SUITE 200 C
Vienna, VA 22180
(703) 938-5700
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1134252455
10680 MAIN ST STE 200
Fairfax, VA 22030
(703) 352-2620
✔ PECOS✔ Accepts Medicare4.2 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 49D0688186

Dermatology & Dermatologic Surgery Group Of Northern Virginia · Vienna, VA
Active · expires May 26, 2028
CLIA Number49D0688186
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorKelley P. Redbord
Laboratory Phone(703) 938-5700
Laboratory LocationDermatology & Dermatologic Surgery Group Of Northern Virginia243 Church Street, NW - Suite 200C, Vienna, VA 22180
CLIA data matches this NPI record on: Address Name
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 & Dermatologic Surgery Group Of Northern Virginia PLLC's NPI number?

The NPI number for Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC is 1386810299. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC located?

Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC is located at 243 Church St NW, Vienna, VA 22180. The listed phone number is (703) 969-9944.

What is Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC's specialty?

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

Is Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC enrolled in Medicare?

Yes. Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC, in Dermatology and Micrographic Dermatologic Surgery (MDS). 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D0688186) is associated with this NPI, valid through May 26, 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 Dermatology & Dermatologic Surgery Group Of Northern Virginia PLLC was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.