Individual provider Active NPI

Karlyn Elizabeth Pollack, MD

  • Dermatology Physician
  • McLean, VA
National Provider Identifier
1235692393
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101281132 Issued in VA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000578 DC Practitioner - Dermatology 6608299656 Reassigns benefits to 1 organization

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
District Dermatology PLLCGroup PAC ID 9537420146, 7 clinicians

Practice addresses (Care Compare)

6711 Whittier Ave
Suite 101
MC Lean, VA 22101-4540
Phone (703) 992-9211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision66
Removal of skin lesions445
Removal or shaving of skin growth51
Skin biopsy168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101281132VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Dermatology, PLLC Single Specialty CurrentSince May 1, 2024 Accepting new patients

Locations

6711 Whittier Ave
Ste 101
McLean, VA 22101
Phone (703) 356-5722

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.