Active NPI
Karlyn Elizabeth Pollack, MD
- Dermatology Physician
- McLean, VA
National Provider Identifier
1235692393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101281132
- Practice address
- 6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540 - Phone
- (703) 992-9211
- NPI assigned
- Apr 7, 2019
- Last updated
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101281132 | VA | Primary |
Addresses
Primary practice location
6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540
Mailing address
6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540
Phone (703) 992-9211
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Virginia School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6711 Whittier Ave
Suite 101
MC Lean, VA 22101-4540
Phone (703) 992-9211
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 66 |
| Removal of skin lesions | 445 |
| Removal or shaving of skin growth | 51 |
| Skin biopsy | 168 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101281132 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Dermatology, PLLC | Single Specialty | Current | Accepting new patients |
Locations
6711 Whittier Ave
Ste 101
McLean, VA 22101
Phone (703) 356-5722
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00102
Organizations & group practices 1
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": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1235692393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 WHITTIER AVE STE 101",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014540",
"telephone_number": "703-992-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 WHITTIER AVE STE 101",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014540",
"telephone_number": "703-992-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "KARLYN",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-07",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101281132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.