Yasser Faraj, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0102209822 Issued in VA

Practice address

725 S College Ave
Bluefield, VA 24605-1640

Phone

(276) 326-3376

Fax

(276) 326-3046

NPI assigned

Apr 1, 2020

Last updated

Aug 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AZ, WV, VA4 enrollments

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 4

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Lake Erie College of Osteopathic Medicine, Bradenton, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Bluefield PLLCGroup PAC ID 6800291360, 12 clinicians

Az Dermatology LLCGroup PAC ID 5698850543, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yfaraj@atozderm.emadirect.md

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.

• Integrated Dermatology of Bluefield, PLLC

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1902474422

  WV

  Medicare reassignment Care Compare group NPD
• Az Dermatology LLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1508035411
  Medicare reassignment Care Compare group NPD
• Derm One, PLLC

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1053493288
  NPD
• Az Dermatology

  • Specialist
  • Maricopa, AZ
  • NPI 1962737965
  NPD

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1043848229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051640",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Southhall Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517172",
            "country_code": "US",
            "telephone_number": "866-400-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4130 Robert C Byrd Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012206",
            "country_code": "US",
            "telephone_number": "304-425-9435",
            "fax_number": "304-255-9435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAJ",
        "first_name": "YASSER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102209822",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "18932",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "4821",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WV",
            "license": "4821",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0102209822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kianne Fernandez, ATC
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• Shelly Ann Fizer, OT/L
• Foot and Ankle Clinic of the Virginias Inc

• Dermatology Physician in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.

Verify at the official NPI Registry.