Individual provider Active NPI

Kavya Desai, MD, MPH

  • Dermatology Physician
  • Fairfax, VA
National Provider Identifier
1093370074
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101281508 Issued in VA
Practice address
8316 Arlington Blvd Ste 400
Fairfax, VA 22031-5216
Phone
(703) 641-0083
Fax
(703) 641-0085
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 68570 MN
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 0101281508 VA Primary

Addresses

Primary practice location

8316 Arlington Blvd Ste 400
Fairfax, VA 22031-5216

Mailing address

8316 Arlington Blvd Ste 400
Fairfax, VA 22031-5216
Phone (703) 641-0083

Other practice location 1

420 Delaware Street SE
Mmc98
Minneapolis, MN 55455
Phone (612) 624-9964

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
I20240816003047 DC Practitioner - Dermatology 5597092858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wright State University Boonshoft School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

8316 Arlington Blvd
Fairfax, VA 22031-5216
Phone (703) 641-0083

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions432
Removal or shaving of skin growth1-10
Skin biopsy170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101281508VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Feb 4, 2023 Accepting new patients
Derm Associates LLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients
Park Nicollet Clinic CurrentSince Feb 4, 2023 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients

Locations

10313 Georgia Ave
Ste 309
Silver Spring, MD 20902
Phone (301) 681-4368

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

8316 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (703) 205-1919

Interoperability endpoints

  • Direct secure messaging: kdesai@usdp7.emadirect.md

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1093370074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315216",
            "telephone_number": "703-641-0083",
            "fax_number": "703-641-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315216",
            "telephone_number": "703-641-0083",
            "fax_number": "703-641-0085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Delaware Street SE",
            "address_2": "MMC98",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55455",
            "country_code": "US",
            "telephone_number": "612-624-9964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KAVYA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "68570",
            "primary": false
        },
        {
            "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": "0101281508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.