Individual provider Active NPI

Alysha Guillermina Colon, MD

  • Dermatology Physician
  • Alexandria, VA
National Provider Identifier
1003444365
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101282698 Issued in VA
Practice address
4660 Kenmore Ave Ste 1100
Alexandria, VA 22304-1311
Phone
(703) 370-0073
NPI assigned
Mar 31, 2020
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101282698 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave Ste 1100
Alexandria, VA 22304-1311

Mailing address

4660 Kenmore Ave Ste 1100
Alexandria, VA 22304-1311
Phone (703) 370-0073

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
I20240801001681 DC Practitioner - Dermatology 0648717108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 2020
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)

4660 Kenmore Ave
Suite 1100
Alexandria, VA 22304-1311
Phone (703) 370-0073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions198
Removal or shaving of skin growth13
Skin biopsy82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Virginia Inc Dermatology CurrentSince Sep 1, 2024 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

4660 Kenmore Ave
Ste 1100
Alexandria, VA 22304
Phone (703) 370-0073

3700 Joseph Siewick Dr
Ste 302
Fairfax, VA 22033
Phone (703) 648-2488

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1003444365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041311",
            "telephone_number": "703-370-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041311",
            "telephone_number": "703-370-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ALYSHA",
        "middle_name": "GUILLERMINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101282698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.