Individual provider Active NPI

Trevor Hansen, MD

  • Dermatology Physician
  • Alexandria, VA
National Provider Identifier
1043769011
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
010127868 Issued in VA
Practice address
1900 N Beauregard St Ste 110
Alexandria, VA 22311-1716
Phone
(703) 212-7546
NPI assigned
Sep 30, 2016
Last updated
May 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 010127868 VA Primary

Addresses

Primary practice location

1900 N Beauregard St Ste 110
Alexandria, VA 22311-1716

Mailing address

1900 N Beauregard St Ste 110
Alexandria, VA 22311-1716
Phone (703) 212-7546

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (435) 232-6558

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
I20230815003166 DC Practitioner - Dermatology 0345623732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oregon Health Sciences University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Associates in Dermatology, PCGroup PAC ID 8820181365, 4 clinicians

Practice addresses (Care Compare)

2900 S Quincy St
Suite 210
Arlington, VA 22206-9907
Phone (703) 212-7546

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
74.5
Promoting interoperability
94
Improvement activities
40
Cost
96.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions358
Removal of skin cancer357
Removal of nail tissue1-10
Skin biopsy115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010127868VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Associates in Dermatology, PC Dermatology CurrentSince Jul 20, 2023 Accepting new patients

Locations

1900 N Beauregard St
Ste 110
Alexandria, VA 22311
Phone (703) 212-7546

2900 S Quincy St
Ste 210
Arlington, VA 22206
Phone (703) 212-7546

Interoperability endpoints

  • Direct secure messaging: thansen924636@wm.providencedirect.org

Organizations & group practices 1

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1043769011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N BEAUREGARD ST STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111716",
            "telephone_number": "703-212-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N BEAUREGARD ST STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111716",
            "telephone_number": "703-212-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "435-232-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "TREVOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "010127868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.