Shabnam Shahabadi, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101243725 Issued in VA

Practice address

3289 Woodburn Rd
Suite 245
Annandale, VA 22003-6800

Phone

(703) 645-0077

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

George Washington University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Plastic Surgery and Dermatology Associates, LLCGroup PAC ID 6800954165, 2 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Plastic Surgery and Dermatology Associates, LLC

  • Plastic Surgery Physician
  • Fairfax, VA
  • NPI 1235395179

  DC, Dermatology

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1255456539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE 245",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "703-645-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE 245",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "703-645-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHABADI",
        "first_name": "SHABNAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101243725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sellati & Co., Inc.
• Sellati & Co., Inc.
• Temesgen Semere
• Sensory Angels ABA
• Ansley Shackelford, LPC, NCC
• Shahid Malik MD PC
• Amir H Shahlaee, MD
• Sarah Saghir Shami, PHARM D
• McKayla McCoy Sharer
• Kayla Shaughnessy

• Dermatology Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.

Verify at the official NPI Registry.