Active NPI
Douglas Scott Richardson, M.D.
- Dermatology Physician
- Sterling, VA
National Provider Identifier
1073586582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101024117
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.