CLINICAL SKIN CENTER
NPI 1700887387
Specialist in Fairfax, VA
About Clinical Skin Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICAL SKIN CENTER (NPI 1700887387) is a healthcare organization registered as a specialist in Fairfax, Virginia and active in the NPI registry since August 2005. The organization holds a CLIA Certificate of Compliance certificate valid through June 26, 2028 and lists Mitchell E. Stashower, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinical Skin Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Clinical Skin Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Fairfax, VA 22033
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 49D1002070
Clinical Skin Center Of Northern Virginia, The · Fairfax, 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 The Clinical Skin Center Of Northern Virginia PLLC's NPI number?
The NPI number for The Clinical Skin Center Of Northern Virginia PLLC is 1700887387. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Clinical Skin Center.
Where is The Clinical Skin Center Of Northern Virginia PLLC located?
The Clinical Skin Center Of Northern Virginia PLLC is located at 3700 Joseph Siewick Dr Suite 404, Fairfax, VA 22033. The listed phone number is (703) 620-8900.
What is The Clinical Skin Center Of Northern Virginia PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is The Clinical Skin Center Of Northern Virginia PLLC enrolled in Medicare?
Yes. The Clinical Skin Center Of Northern Virginia PLLC is registered in the Medicare PECOS enrollment system.
When is The Clinical Skin Center Of Northern Virginia PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through The Clinical Skin Center Of Northern Virginia PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to The Clinical Skin Center Of Northern Virginia 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does The Clinical Skin Center Of Northern Virginia PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 49D1002070) is associated with this NPI, valid through June 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 The Clinical Skin Center Of Northern Virginia PLLC was last updated on January 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Clinical Skin Center · NPI 1700887387
Specialist organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since August 9, 2005.
## Identity
- **NPI:** 1700887387 (Entity type: Organization)
- **Enumerated:** August 9, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** The Clinical Skin Center Of Northern Virginia Pllc
- **Organization subpart:** No
- **Authorized official:** Mitchell Stashower, OWNER
## Practice location
- **Address:** 3700 JOSEPH SIEWICK DR, SUITE 404, Fairfax, VA 22033-1744
- **Phone:** (703) 620-8900 · **Fax:** (703) 620-2288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, District of Columbia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2011
- **Other identifiers:** Medicare ID-Type Unspecified G00833
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700887387) · Data from the CMS NPPES public registry.