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INTEGRATED DERMATOLOGY OF RESTON, LLC
NPI 1487186466
Dermatology in Reston, VA

Active since March 30, 2017CLIA 49D2222313 · Certificate of Compliance
1886 METRO CENTER DR STE 650, RESTON, VA 20190(703) 437-7744 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2019, Mar 30, 2017 (2 updates tracked since 2017).

About Integrated Dermatology Of Reston, Llc NPPES

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

INTEGRATED DERMATOLOGY OF RESTON, LLC (NPI 1487186466) is a healthcare organization registered as a dermatology in Reston, Virginia and active in the NPI registry since March 2017. The organization holds a CLIA Certificate of Compliance certificate valid through October 13, 2027 and lists Adam S. Plotkin, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1487186466
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF RESTON, LLC
Location Address1886 METRO CENTER DR STE 650Reston, VA 20190-5294
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000 · Fax (561) 431-2821
Phone(703) 437-7744
Organization SubpartNo
Authorized OfficialAdam S. PlotkinAuthorized Official · (561) 314-2000
Enumeration DateMarch 30, 2017
Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration
✔ NPI 1487186466 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.
1886 METRO CENTER DR STE 650, Reston, VA 20190
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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

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 49D2222313

Integrated Dermatology Of Reston LLC · Reston, VA
Active · expires Oct 13, 2027
CLIA Number49D2222313
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorMorgana Colombo
Laboratory Phone(703) 437-7744
Laboratory LocationIntegrated Dermatology Of Reston LLC1886 Metro Center Dr Suite 650, Reston, VA 20190
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

MS. JENNIFER L KALLIO PA-C
Physician Assistant
1886 METRO CENTER DR STE 650
RESTON, VA 20190
Fairfax County (703) 437-7744
COLLEEN BURKHART PA-C
Physician Assistant
1886 METRO CENTER DR STE 650
RESTON, VA 20190
Fairfax County (703) 437-7744

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 Integrated Dermatology Of Reston, LLC's NPI number?

The NPI number for Integrated Dermatology Of Reston, LLC is 1487186466. It was assigned to this organization in the NPPES registry on March 30, 2017.

Where is Integrated Dermatology Of Reston, LLC located?

Integrated Dermatology Of Reston, LLC is located at 1886 Metro Center Dr Ste 650, Reston, VA 20190. The listed phone number is (703) 437-7744.

What is Integrated Dermatology Of Reston, LLC's specialty?

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

Does Integrated Dermatology Of Reston, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D2222313) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Dermatology Of Reston, LLC was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.