Individual provider Active NPI

Reena Moza Vaid, M.D.

  • Dermatology Physician
  • Gainesville, VA
National Provider Identifier
1104081322
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
101258490 Issued in VA
Practice address
7500 Gardner Park Dr
Gainesville, VA 20155-3414
Phone
(703) 753-9860
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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 101258490 VA Primary

Addresses

Primary practice location

7500 Gardner Park Dr
Gainesville, VA 20155-3414

Mailing address

7500 Gardner Park Dr
Gainesville, VA 20155-3414

Other names 1

  • Dr. Reena Moza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150821014081 VA Practitioner - Dermatology 9739308289 Reassigns benefits to 1 organization
I20150915002290 DC Practitioner - DermatologyPractitioner - Pediatric Medicine 9739308289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pediatric Medicine
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewal Dermatology and Medspa PCGroup PAC ID 8527216993, 16 clinicians

Practice addresses (Care Compare)

7512 Gardner Park Dr
Gainesville, VA 20155-3414
Phone (703) 753-9860

8650 Sudley Rd
Suite 310
Manassas, VA 20110-4416
Phone (703) 753-9860

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision111
Removal of tissue1-10
Removal of skin lesions2070
Removal or shaving of skin growth56
Skin biopsy692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101258490VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology of Fairfax, LLC Dermatology CurrentSince Jan 1, 2020 Accepting new patients
Renewal Dermatology PLLC Dermatology Past Accepting new patients
Advanced Dermatologic Surgery PA Dermatology Past Accepting new patients

Locations

10721 Main St
Ste 3100
Fairfax, VA 22030
Phone (703) 352-2620

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1104081322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GARDNER PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GARDNER PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414",
            "telephone_number": "703-753-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAID",
        "first_name": "REENA",
        "middle_name": "MOZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "101258490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REENA",
            "last_name": "MOZA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.