Individual provider Active NPI

Douglas Scott Richardson, M.D.

  • Dermatology Physician
  • Sterling, VA
National Provider Identifier
1073586582
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101024117 Issued in VA
Practice address
21495 Ridgetop Cir
Suite 204
Sterling, VA 20166-6512
Phone
(703) 439-3939
Fax
(703) 430-5529
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0101024117 VA Primary

Addresses

Primary practice location

21495 Ridgetop Cir
Suite 204
Sterling, VA 20166-6512

Mailing address

21495 Ridgetop Cir
Suite 204
Sterling, VA 20166-6512
Phone (703) 439-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20071002000607 VA Practitioner - Dermatology 9638264963 Practice locations: Sterling, VA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073586582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21495 RIDGETOP CIR",
            "address_2": "SUITE 204",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666512",
            "telephone_number": "703-439-3939",
            "fax_number": "703-430-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21495 RIDGETOP CIR",
            "address_2": "SUITE 204",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666512",
            "telephone_number": "703-439-3939",
            "fax_number": "703-430-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101024117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.