1. Home
  2. Directory
  3. Virginia
  4. Alexandria
  5. Dermatology
  6. NPI Profile

ADVANCED DERMATOLOGY OF VIRGINIA INC
NPI 1801342639
Dermatology in Alexandria, VA

Active since August 31, 2016CLIA Certified · 4 labs
4660 KENMORE AVE STE 1100, ALEXANDRIA, VA 22304(703) 370-0073 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2023, Aug 31, 2016 (2 updates tracked since 2016).

About Advanced Dermatology Of Virginia Inc NPPES

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

ADVANCED DERMATOLOGY OF VIRGINIA INC (NPI 1801342639) is a healthcare organization registered as a dermatology in Alexandria, Virginia and active in the NPI registry since August 2016. The organization holds 4 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Matt Leavitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1801342639
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF VIRGINIA INC
Location Address4660 KENMORE AVE STE 1100Alexandria, VA 22304-1311
Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 650-3455
Phone(703) 370-0073
Organization SubpartNo
Authorized OfficialMatt LeavittOwner · (407) 875-2080
Enumeration DateAugust 31, 2016
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1801342639 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.
4660 KENMORE AVE STE 1100, Alexandria, VA 22304
Open in Google Maps ↗

Secondary Practice Locations 4

Location 145155 Research Pl Ste 140Ashburn, VA 20147-4193 · Phone (703) 858-0500
Location 2151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · Phone (407) 875-2080 ext. 1166 · Fax (407) 650-3455
Location 3419 Holiday Ct Ste 10Warrenton, VA 20186-4372 · Phone (540) 878-5781
Location 43700 Joseph Siewick Dr Ste 302Fairfax, VA 22033-1739 · Phone (703) 648-2488

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)

Advanced Dermatology Of Virginia Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Advanced Dermatology Of Virginia Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology12
Diagnostic Radiology1
Micrographic Dermatologic Surgery (MDS)1
Nurse Practitioner1

Clinicians, nearest first (15)

Alysha Colon, MD
Dermatology
NPI 1003444365
4660 KENMORE AVE STE 1100
Alexandria, VA 22304
(703) 370-0073
✔ PECOSSame address
Sebastian Demarco, M.D.
Dermatology
NPI 1063807980
4660 KENMORE AVE STE 1100
Alexandria, VA 22304
(703) 370-0073
✔ PECOS✔ Accepts MedicareSame address
Alexander Fischer, MD
Dermatology
NPI 1659795169
4660 KENMORE AVE STE 1100
Alexandria, VA 22304
(703) 370-0073
✔ PECOS✔ Accepts MedicareSame address
Bruce Glassman, M.D.
Dermatology
NPI 1730151119
4660 KENMORE AVE SUITE 500
Alexandria, VA 22304
(703) 370-0073
✔ PECOS✔ Accepts MedicareSame address
Alan Rolfe, M.D.
Dermatology
NPI 1295899953
8505 ARLINGTON BLVD STE 210
Fairfax, VA 22031
(703) 846-0076
✔ PECOS✔ Accepts Medicare7.4 mi
Shaneen Silk-Valentino, NP
Nurse Practitioner
NPI 1962240655
9455 LORTON MARKET ST STE 100
Lorton, VA 22079
(703) 780-2800
✔ PECOS✔ Accepts Medicare11 mi
Kelley Redbord, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1134252455
10680 MAIN ST STE 200
Fairfax, VA 22030
(703) 352-2620
✔ PECOS✔ Accepts Medicare11 mi
Benjamin Nia, MD
Dermatology
NPI 1003312729
3700 JOSEPH SIEWICK DR STE 302
Fairfax, VA 22033
(703) 648-2488
✔ PECOS✔ Accepts Medicare15 mi
Reem Tadros, M.D.
Dermatology
NPI 1205934213
3700 JOSEPH SIEWICK DR SUITE 403
Fairfax, VA 22033
(703) 648-2488
✔ PECOS✔ Accepts Medicare15 mi
Josephine Nguyen, M.D.
Dermatology
NPI 1760452353
NATIONAL NAVAL MEDICAL CTR 8901 WISCONSIN AVENUE
Bethesda, MD 20889
(703) 380-6182
✔ PECOS✔ Accepts Medicare22 mi
Marlon Maragh, MD
Diagnostic Radiology
NPI 1932119690
45155 RESEARCH PL SUITE 140
Ashburn, VA 20147
(703) 858-0500
✔ PECOS✔ Accepts Medicare23 mi
Sherry Maragh, MD
Dermatology
NPI 1366407157
45155 RESEARCH PL SUITE 140
Ashburn, VA 20147
(703) 858-0500
✔ PECOS✔ Accepts Medicare23 mi
Qaren Quartey, MD
Dermatology
NPI 1679151484
19785 CRYSTAL ROCK DR STE 208
Germantown, MD 20874
(240) 813-8215
✔ PECOS✔ Accepts Medicare26 mi
Sima Amin, MD
Dermatology
NPI 1467912006
1361 13TH AVE S STE 140
Jacksonville Beach, FL 32250
(904) 372-8031
✔ PECOS✔ Accepts Medicare637 mi
Mark Kaufmann, M.D.
Dermatology
NPI 1386648616
3 SW 129TH AVE STE 100
Pembroke Pines, FL 33027
(866) 400-3376
✔ PECOS✔ Accepts Medicare902 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 4

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 49D2145950

Advanced Dermatology Of Virginia · Alexandria, VA
Active · expires Dec 17, 2027
CLIA Number49D2145950
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorBruce D. Glassman
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Virginia4660 Kenmore Avenue - Suite 1100, Alexandria, VA 22304
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 49D2014293

Advanced Dermatology Of Virginia · Warrenton, VA
Active · expires Nov 20, 2027
CLIA Number49D2014293
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorSherry Maragh
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Virginia419 Holiday Court - Suite 10, Warrenton, VA 20186
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 49D1080603

Advanced Dermatology Of Virginia · Ashburn, VA
Active · expires Dec 3, 2027
CLIA Number49D1080603
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorSherry Maragh
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Virginia45155 Research Place, Suite 140, Ashburn, VA 20147
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.

Certificate of Compliance 49D0893997

Advanced Dermatology Of Virginia · Fairfax, VA
Active · expires Jun 22, 2027
CLIA Number49D0893997
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorKelley P. Redbord
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Virginia3700 Joseph Siewick Dr Suite #302, Fairfax, VA 22033
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 Advanced Dermatology Of Virginia Inc's NPI number?

The NPI number for Advanced Dermatology Of Virginia Inc is 1801342639. It was assigned to this organization in the NPPES registry on August 31, 2016.

Where is Advanced Dermatology Of Virginia Inc located?

Advanced Dermatology Of Virginia Inc is located at 4660 Kenmore Ave Ste 1100, Alexandria, VA 22304. The listed phone number is (703) 370-0073.

What is Advanced Dermatology Of Virginia Inc's specialty?

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

Is Advanced Dermatology Of Virginia Inc enrolled in Medicare?

Yes. Advanced Dermatology Of Virginia Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology Of Virginia Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Advanced Dermatology Of Virginia Inc. 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. The largest specialties are Dermatology (12), Diagnostic Radiology (1) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermatology Of Virginia Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Of Virginia Inc was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.