METRO MOHS SURGERY CENTER, LLC
NPI 1578129599
Dermatology - MOHS-Micrographic Surgery in Springfield, VA

Active since May 15, 2019CLIA 49D2170701 · Certificate of Compliance
5501 BACKLICK RD STE 120, SPRINGFIELD, VA 22151(301) 966-7744 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Metro Mohs Surgery Center, Llc NPPES

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

METRO MOHS SURGERY CENTER, LLC (NPI 1578129599) is a healthcare organization registered as a mohs-micrographic surgery in Springfield, Virginia and active in the NPI registry since May 2019. The organization holds a CLIA Certificate of Compliance certificate valid through September 23, 2028 and lists Kimberly Sellin, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1578129599
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameMETRO MOHS SURGERY CENTER, LLC
Location Address5501 BACKLICK RD STE 120Springfield, VA 22151-3940
Mailing Address5501 Backlick Rd Ste 110&120Springfield, VA 22151-3933 · (703) 705-7505 · Fax (866) 990-3880
Organization SubpartNo
Authorized OfficialKimberly SellinPractice Administrator · (703) 705-7505
Enumeration DateMay 15, 2019
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1578129599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
5501 BACKLICK RD STE 120, Springfield, VA 22151

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 49D2170701

Metro Mohs Surgery Center, LLC · Springfield, VA
Active · expires Sep 23, 2028
CLIA Number49D2170701
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2026
Certificate Expiration DateSeptember 23, 2028
Laboratory DirectorCharles B. Toner
Laboratory Phone(703) 705-7505
Laboratory LocationMetro Mohs Surgery Center, LLC5501 Backlick Road, Suites 110 & 120, Springfield, VA 22151
CLIA data matches this NPI record on: 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.

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 Metro Mohs Surgery Center, LLC's NPI number?

The NPI number for Metro Mohs Surgery Center, LLC is 1578129599. It was assigned to this organization in the NPPES registry on May 15, 2019.

Where is Metro Mohs Surgery Center, LLC located?

Metro Mohs Surgery Center, LLC is located at 5501 Backlick Rd Ste 120, Springfield, VA 22151. The listed phone number is (301) 966-7744.

What is Metro Mohs Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Metro Mohs Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D2170701) is associated with this NPI, valid through September 23, 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 Metro Mohs Surgery Center, LLC was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.