Individual provider Active NPI

Zetta Mariana Hester, MD

  • Dermatology Physician
  • Alexandria, VA
National Provider Identifier
1184063307
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101265186 Issued in VA
Practice address
5911 Kingstowne Village Pkwy Ste 100
Alexandria, VA 22315-4645
Phone
(571) 449-2555
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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 0101265186 VA Primary

Addresses

Primary practice location

5911 Kingstowne Village Pkwy Ste 100
Alexandria, VA 22315-4645

Mailing address

5911 Kingstowne Village Pkwy Ste 100
Alexandria, VA 22315-4645

Other practice location 1

11351 Random Hills Rd Ste 200
Fairfax, VA 22030-6081
Phone (571) 234-6078

Other names 1

  • Dr. Zetta Mariana Fayos Former name

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
I20180801002718 DC Practitioner - Dermatology 0244588671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Boston University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braun Dermatology and Skin Cancer Center, PCGroup PAC ID 5395788210, 9 clinicians

Practice addresses (Care Compare)

3301 New Mexico Ave NW
Suite 301
Washington, DC 20016-3603
Phone (202) 293-7618

Merit-based Incentive Payment System (MIPS)

Final score
94.71 of 100Reported as group
Quality
100
Improvement activities
40
Cost
82.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions676
Removal or shaving of skin growth92
Skin biopsy139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101265186VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology, PA Dermatology CurrentSince Oct 13, 2024 Accepting new patients

Locations

11351 Random Hills Rd
Ste 200
Fairfax, VA 22030
Phone (571) 234-6078

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1184063307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 KINGSTOWNE VILLAGE PKWY STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 KINGSTOWNE VILLAGE PKWY STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154645",
            "telephone_number": "571-449-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11351 Random Hills Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220306081",
            "country_code": "US",
            "telephone_number": "571-234-6078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESTER",
        "first_name": "ZETTA",
        "middle_name": "MARIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101265186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZETTA",
            "last_name": "FAYOS",
            "middle_name": "MARIANA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.