Individual provider Active NPI

Esther Henebeng, MD

  • Dermatology Physician
  • Fairfax, VA
National Provider Identifier
1205412913
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101285677 Issued in VA
Practice address
8316 Arlington Blvd Ste 400
Fairfax, VA 22031-5216
Phone
(703) 641-0083
NPI assigned
Mar 23, 2021
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 0101285677 VA Primary

Addresses

Primary practice location

8316 Arlington Blvd Ste 400
Fairfax, VA 22031-5216

Mailing address

8316 Arlington Blvd Ste 600
Fairfax, VA 22031-5204
Phone (703) 641-0083

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
I20250904005047 DC Practitioner - Dermatology 0244617066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2021
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions30
Skin biopsy20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Current Accepting new patients
Derm Associates LLC Dermatology CurrentSince Oct 1, 2025 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

13880 Braddock Rd
Ste 301
Centreville, VA 20121
Phone (703) 222-2273

8316 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (703) 560-3190

Interoperability endpoints

  • Direct secure messaging: ehenebeng@direct.carene.org
  • Direct secure messaging: ehenebeng@usdp7.emadirect.md

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1205412913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD STE 600",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315204",
            "telephone_number": "703-641-0083"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEBENG",
        "first_name": "ESTHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101285677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.