Individual provider Active NPI

Benjamin Behnoud Nia, MD

  • Dermatology Physician
  • Fairfax, VA
National Provider Identifier
1003312729
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101275514 Issued in VA
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

Updated by the provider on Aug 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815003635 DC Practitioner - Dermatology 9830445485 Reassigns benefits to 1 organization

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
Advanced Dermatology of Virginia IncGroup PAC ID 9436438538, 27 clinicians

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 100Reported as group
Quality
78.27
Promoting interoperability
91
Improvement activities
20
Cost
74.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions135
Removal or shaving of skin growth30
Skin biopsy17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101275514VAMDDermatology Physician
BP10063399TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Virginia Inc Dermatology CurrentSince Oct 1, 2022 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.