Active NPI
Benjamin Behnoud Nia, MD
- Dermatology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101275514
- Practice address
- 3700 Joseph Siewick Dr Ste 302
Fairfax, VA 22033-1739 - Phone
- (703) 648-2488
- Fax
- (703) 648-2489
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101275514 | VA | Primary |
| Internal Medicine Physician | 207R00000X | BP10063399 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3700 Joseph Siewick Dr Ste 302
Fairfax, VA 22033-1739
Mailing address
1221 Massachusetts Ave NW Apt 1017
Washington, DC 20005-5331
Phone (328) 636-3958
Other practice location 1
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-7063
Other practice location 2
2041 Georgia Avenue Towers 4300
Washington, DC 20060-0001
Phone (202) 865-6725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Texas Medical Branch at Galveston, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 Joseph Siewick Dr
Suite 302
Fairfax, VA 22033-1739
Phone (703) 648-2488
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.95 of 100
- Quality
- 78.27
- Promoting interoperability
- 91
- Improvement activities
- 20
- Cost
- 74.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 19 |
| Removal of skin lesions | 135 |
| Removal or shaving of skin growth | 30 |
| Skin biopsy | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101275514 | VA | MD | Dermatology Physician |
| BP10063399 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of Virginia Inc | Dermatology | Current | Accepting new patients |
| Howard University | Dermatology | Past | Accepting new patients |
Locations
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
3700 Joseph Siewick Dr
Ste 302
Fairfax, VA 22033
Phone (703) 648-2488
Interoperability endpoints
- benjamin.nia@adcs1.emadirect.md
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1003312729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 MASSACHUSETTS AVE NW APT 1017",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200055331",
"telephone_number": "328-636-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR STE 302",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331739",
"telephone_number": "703-648-2488",
"fax_number": "703-648-2489"
}
],
"practiceLocations": [
{
"address_1": "301 University Blvd",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775555302",
"country_code": "US",
"telephone_number": "409-772-7063",
"fax_number": "409-747-8579",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2041 Georgia Avenue Towers 4300",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200600001",
"country_code": "US",
"telephone_number": "202-865-6725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIA",
"first_name": "BENJAMIN",
"middle_name": "BEHNOUD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101275514",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10063399",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.