Individual provider Active NPI

Anh P Dang-Vu, MD

  • Dermatology Physician
  • Herndon, VA
National Provider Identifier
1114025178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101046603 Issued in VA
Practice address
112 Elden St
Suite E
Herndon, VA 20170-4874
Phone
(703) 925-1886
Fax
(703) 925-0117
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0101046603 VA Primary

Addresses

Primary practice location

112 Elden St
Suite E
Herndon, VA 20170-4874

Mailing address

112 Elden St
Suite E
Herndon, VA 20170-4874
Phone (703) 925-1886

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
I20120404000489 DC Practitioner - Dermatology 3274793914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Duke University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Elden St
Suite E
Herndon, VA 20170-4832
Phone (703) 925-1886

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions796
Removal or shaving of skin growth23
Skin biopsy182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101046603VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anh P Dang-Vu, MD, PC Dermatology CurrentSince Jan 23, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

112 Elden St
Ste E
Herndon, VA 20170
Phone (703) 925-1886

112 Elden St
Herndon, VA 20170

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114025178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ELDEN ST",
            "address_2": "SUITE E",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704874",
            "telephone_number": "703-925-1886",
            "fax_number": "703-925-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELDEN ST",
            "address_2": "SUITE E",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704874",
            "telephone_number": "703-925-1886",
            "fax_number": "703-925-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG-VU",
        "first_name": "ANH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101046603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.