SKIN AND LASER SURGERY CENTER
NPI 1720277932
Dermatology - MOHS-Micrographic Surgery in Vienna, VA

Q: What is Skin And Laser Surgery Center's NPI number?

The NPI number for Skin And Laser Surgery Center is 1720277932. It was assigned to this organization in the NPPES registry on October 24, 2007.

Q: What is Skin And Laser Surgery Center's specialty?

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

Active since October 24, 2007CLIA 49D1023017 · Certificate of Compliance

8130 BOONE BLVD, SUITE 340, VIENNA, VA 22182(703) 492-4140(703) 490-6443 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Skin And Laser Surgery Center NPPES

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

SKIN AND LASER SURGERY CENTER (NPI 1720277932) is a healthcare organization registered as a mohs-micrographic surgery in Vienna, Virginia and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through July 5, 2028 and lists Amir Bajoghli, President, as its authorized official.

NPPES Registry Identity

NPI1720277932

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameSKIN AND LASER SURGERY CENTER

Location Address8130 BOONE BLVD, SUITE 340Vienna, VA 22182-2666

Mailing AddressPo Box 2010Merrifield, VA 22116-2010 · (703) 492-4140 · Fax (703) 492-5409

Phone(703) 492-4140

Fax(703) 490-6443

Organization SubpartNo

Authorized OfficialAmir BajoghliPresident · (703) 492-4140

Enumeration DateOctober 24, 2007

Last NPPES UpdateSeptember 24, 2008

✔ NPI 1720277932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in VA · 0101053252

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.

8130 BOONE BLVD, Vienna, VA 22182

Open in Google Maps ↗

Other Identifiers 9

Medicare UPING45977

Medicare PIN491664DC

Other269480VA · Anthem

Medicare UPING45977VA

Medicare PINSC0001019VA

OtherF502VA · Carefirst

Other7371099VA · Aetna

Other8297441VA · Cigna

Medicare PIN070000348VA

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skin And Laser Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by December 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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.

StateEnrollment IDDue date

StateDistrict of ColumbiaEnrollment IDO20091120000636Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

StateVirginiaEnrollment IDO20080805000634Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Skin And Laser Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Alice Karr, FNP-BC

Nurse Practitioner

NPI 1700276854

2826 OLD LEE HWY STE 250
Fairfax, VA 22031

(703) 849-8440

✔ PECOS✔ Accepts Medicare2.9 mi

Amir Bajoghli, MD

Dermatology

NPI 1275586190

1359 BEVERLY RD SUITE 200
Mc Lean, VA 22101

(703) 893-1114

✔ PECOS✔ Accepts Medicare3.0 mi

Chyi-Chia Lee, M.D., PH.D.

Pathology

NPI 1982893046

119 AUTUMN WIND WAY CAPITOL DERMATOPATHOLOY, L.L.C.
Rockville, MD 20850

(240) 750-3165

✔ PECOS✔ Accepts Medicare12 mi

Thomas Smith, MD

Dermatology

NPI 1184685976

2200 OPITZ BLVD SUITE 100
Woodbridge, VA 22191

(703) 492-4140

✔ PECOS✔ Accepts Medicare20 mi

Mehdi Bajoghli, M.D.

Allergy/Immunology

NPI 1720193048

2200 OPITZ BLVD SUITE 230
Woodbridge, VA 22191

(703) 490-5803

✔ PECOS✔ Accepts Medicare20 mi

Janice Rasmussen

Nurse Practitioner

NPI 1932366648

2200 OPITZ BLVD STE 245
Woodbridge, VA 22191

(703) 492-4140

✔ PECOS20 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 49D1023017

Skin & Laser Surgery Center PC · Woodbridge, VA

Active · expires Jul 5, 2028

CLIA Number49D1023017

Laboratory TypePhysician Office

Certificate Effective DateJuly 6, 2026

Certificate Expiration DateJuly 5, 2028

Laboratory DirectorAmir A. Bajoghli

Laboratory Phone(703) 492-4140

Laboratory LocationSkin & Laser Surgery Center PC2200 Opitz Boulevard, Suite 100, Woodbridge, VA 22191

CLIA data matches this NPI record on: 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 Skin And Laser Surgery Center's NPI number?

The NPI number for Skin And Laser Surgery Center is 1720277932. It was assigned to this organization in the NPPES registry on October 24, 2007.

Where is Skin And Laser Surgery Center located?

Skin And Laser Surgery Center is located at 8130 Boone Blvd Suite 340, Vienna, VA 22182. The listed phone number is (703) 492-4140.

What is Skin And Laser Surgery Center's specialty?

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

Is Skin And Laser Surgery Center enrolled in Medicare?

Yes. Skin And Laser Surgery Center is registered in the Medicare PECOS enrollment system.

When is Skin And Laser Surgery Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Skin And Laser Surgery Center holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, District of Columbia, Clinic/Group Practice). 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 Skin And Laser Surgery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Skin And Laser Surgery Center, in Allergy/Immunology, Dermatology, Nurse Practitioner and Pathology. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skin And Laser Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D1023017) is associated with this NPI, valid through July 5, 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 Skin And Laser Surgery Center was last updated on September 24, 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.