DISTRICT DERMATOLOGY, PLLC
NPI 1578079620
Dermatology in Mc Lean, VA

Active since December 26, 2017
6711 WHITTIER AVE STE 101, MC LEAN, VA 22101(703) 798-0610 Get Directions Write a Review

NPPES record last updated: December 26, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About District Dermatology, Pllc NPPES

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

DISTRICT DERMATOLOGY, PLLC (NPI 1578079620) is a healthcare organization registered as a dermatology in Mc Lean, Virginia and active in the NPI registry since December 2017. The organization lists Ali Damavandy, Owner, as its authorized official.

NPPES Registry Identity

NPI1578079620
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDISTRICT DERMATOLOGY, PLLC
Location Address6711 WHITTIER AVE STE 101Mc Lean, VA 22101-4540
Mailing Address6711 Whittier Ave Ste 101Mc Lean, VA 22101-4540
Organization SubpartNo
Authorized OfficialAli DamavandyOwner · (703) 798-0610
Enumeration DateDecember 26, 2017
✔ NPI 1578079620 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.
6711 WHITTIER AVE STE 101, Mc Lean, VA 22101

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)

District Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to District Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Dermatology
NPI 1376836668
6711 WHITTIER AVE STE 101
Mc Lean, VA 22101
(703) 992-9211
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1487040275
6711 WHITTIER AVE STE 101
Mc Lean, VA 22101
(703) 495-2630
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1235692393
6711 WHITTIER AVE STE 101
Mc Lean, VA 22101
(703) 992-9211
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1720422033
6711 WHITTIER AVE STE 101
Mc Lean, VA 22101
(703) 495-2349
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1295197309
6711 WHITTIER AVE STE 101
Mc Lean, VA 22101
(703) 992-9211
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1992773659
9601 BLACKWELL RD STE 260
Rockville, MD 20850
(301) 610-0663
✔ PECOS✔ Accepts Medicare12 mi
Dermatology
NPI 1588985188
110 MARTER AVE SUITE 102
Moorestown, NJ 08057
(856) 235-6565
✔ PECOS✔ Accepts Medicare140 mi
Dermatology
NPI 1295263770
25865 BARTON RD STE 101
Loma Linda, CA 92354
(909) 558-2890
✔ PECOS✔ Accepts Medicare2,238 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 49D2148650

District Dermatology · Mclean, VA
Expired · Oct 8, 2026
CLIA Number49D2148650
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorAli A. Damavandy
Laboratory Phone(703) 992-9200
Laboratory LocationDistrict Dermatology6711 Whittier Avenue, Suite 101, Mclean, VA 22101
CLIA data matches this NPI record on: 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 District Dermatology, PLLC's NPI number?

The NPI number for District Dermatology, PLLC is 1578079620. It was assigned to this organization in the NPPES registry on December 26, 2017.

Where is District Dermatology, PLLC located?

District Dermatology, PLLC is located at 6711 Whittier Ave Ste 101, Mc Lean, VA 22101. The listed phone number is (703) 798-0610.

What is District Dermatology, PLLC's specialty?

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

Is District Dermatology, PLLC enrolled in Medicare?

Yes. District Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through District Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Dermatology, reassign their Medicare billing to District Dermatology, PLLC. 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, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for District Dermatology, PLLC was last updated on December 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.