Individual provider Active NPI

Nina M Fisher, MD

  • Dermatology Physician
  • McLean, VA
National Provider Identifier
1295707560
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101233673 Issued in VA
Practice address
1365 Beverly Road
Second Floor
McLean, VA 22101-3603
Phone
(703) 790-5850
Fax
(703) 790-1028
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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 0101233673 VA Primary

Addresses

Primary practice location

1365 Beverly Road
Second Floor
McLean, VA 22101-3603

Mailing address

1365 Beverly Road
Second Floor
McLean, VA 22101-3603
Phone (703) 790-5850

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
I20110310000536 DC Practitioner - Dermatology 5991987075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology Associates of McLeanGroup PAC ID 2466528211, 3 clinicians

Practice addresses (Care Compare)

1365 Beverly Rd
FL 2
MC Lean, VA 22101-3624
Phone (703) 790-5850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.22 of 100Reported as group
Quality
87.11
Promoting interoperability
94
Improvement activities
40
Cost
78.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of tissue1-10
Removal of skin lesions1338
Removal or shaving of skin growth14
Skin biopsy490

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of McLean Dermatology CurrentSince Oct 25, 2002 Accepting new patients

Locations

1365 Beverly Rd
Fl Second
McLean, VA 22101
Phone (703) 790-5850

1365 Beverly Rd
Fl 2
McLean, VA 22101
Phone (703) 790-5850

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1295707560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 BEVERLY ROAD",
            "address_2": "SECOND FLOOR",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013603",
            "telephone_number": "703-790-5850",
            "fax_number": "703-790-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 BEVERLY ROAD",
            "address_2": "SECOND FLOOR",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013603",
            "telephone_number": "703-790-5850",
            "fax_number": "703-790-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "NINA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101233673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.