Individual provider Active NPI

Brittany P Smirnov, DO

  • Procedural Dermatology Physician
  • Falls Church, VA
National Provider Identifier
1295129294
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
0102206515 Issued in VA
Practice address
6565 Arlington Blvd Ste 102
Falls Church, VA 22042-3000
Phone
(703) 578-1770
Fax
(703) 820-7088
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X OS14093 FL
General Practice Physician 208D00000X OS 14093 FL
Procedural Dermatology Physician 207NS0135X 0102206515 VA Primary

Addresses

Primary practice location

6565 Arlington Blvd Ste 102
Falls Church, VA 22042-3000

Mailing address

6565 Arlington Blvd Ste 102
Falls Church, VA 22042-3000
Phone (703) 578-1770

Other names 1

  • Brittany P Frank Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170819000061 FL Practitioner - Dermatology 6709158199 Reassigns benefits to 1 organization
I20210416000502 DC Practitioner - Dermatology 6709158199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glenn H Fuchs MD PCGroup PAC ID 4587732227, 3 clinicians

Practice addresses (Care Compare)

6565 Arlington Blvd
Suite 102
Falls Church, VA 22042-3000
Phone 7036181148109

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of skin lesions626
Removal or shaving of skin growth32
Skin biopsy105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102206515VAMDProcedural Dermatology Physician
OS 14093FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn H Fuchs MD PC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Dermatology Associates of the Palm Beaches PLLC Single Specialty CurrentSince Aug 1, 2017 Accepting new patients
Total Vein and Skin LLC Single Specialty PastSince Nov 1, 2019 Accepting new patients

Locations

2605 W Atlantic Ave
Ste D204
Delray Beach, FL 33445
Phone (561) 819-5822

120 Butler St
Ste A
West Palm Beach, FL 33407
Phone (561) 659-1510

1551 Forum Pl
Ste 100A
West Palm Beach, FL 33401
Phone (561) 659-1510

611 S Carlin Springs Rd
Ste 502
Arlington, VA 22204
Phone (703) 578-1770

6565 Arlington Blvd
Ste 102
Falls Church, VA 22042
Phone (703) 578-1770

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1295129294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 ARLINGTON BLVD STE 102",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423000",
            "telephone_number": "703-578-1770",
            "fax_number": "703-820-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 ARLINGTON BLVD STE 102",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423000",
            "telephone_number": "703-578-1770",
            "fax_number": "703-820-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIRNOV",
        "first_name": "BRITTANY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-10-13",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS14093",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS 14093",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0102206515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "FRANK",
            "middle_name": "P",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.