Active NPI
Alan Ellis Rolfe, M.D.
- Dermatology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101040397
- Practice address
- 8505 Arlington Blvd Ste 210
Fairfax, VA 22031-4630 - Phone
- (703) 846-0076
- Fax
- (703) 846-0025
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 0101040397 | VA | |
| Pediatric Dermatology Physician | 207NP0225X | 0101040397 | VA | |
| Procedural Dermatology Physician | 207NS0135X | 0101040397 | VA | |
| Dermatology Physician | 207N00000X | 0101040397 | VA | Primary |
Addresses
Primary practice location
8505 Arlington Blvd Ste 210
Fairfax, VA 22031-4630
Mailing address
4646 Sunsail Cir
Destin, FL 32541-4756
Phone (757) 469-9714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0126246P05 | Other | VA | MEDICARE PTAN |
| 1295899953 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Alan.Rolfe@forefrontdermatology.emadirect.md |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1626 Tuttle St
Baraboo, WI 53913-1501
Phone (608) 355-2033
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Removal of skin lesions | 324 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101040397 | VA | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of Virginia Inc | Dermatology | Current | Accepting new patients |
| Dean Health Systems, Inc | Dermatology | Current | Accepting new patients |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Elizabeth Mitchell Dugan MD LLC | Past | Accepting new patients | |
| Tidewater Dermatopathology Service, Inc | Past | Accepting new patients |
Locations
45155 Research Pl
Ste 140
Ashburn, VA 20147
Phone (703) 858-0500
3700 Joseph Siewick Dr
Ste 302
Fairfax, VA 22033
Phone (703) 648-2488
1626 Tuttle St
Baraboo, WI 53913
Phone (608) 355-2033
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- alan.rolfe@forefrontdermatology.emadirect.md
Organizations & group practices 5
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.
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
Dermatology
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Clinical Medical Laboratory
- Norfolk, VA
- NPI 1760572291
-
- Specialist
- Silver Spring, MD
- NPI 1588869226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St Clare Hospital-Baraboo
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
dba SSM Health St. Mary's Hospital-Madison
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1295899953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 SUNSAIL CIR",
"city": "DESTIN",
"state": "FL",
"postal_code": "325414756",
"telephone_number": "757-469-9714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 ARLINGTON BLVD STE 210",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314630",
"telephone_number": "703-846-0076",
"fax_number": "703-846-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLFE",
"first_name": "ALAN",
"middle_name": "ELLIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "VA",
"license": "0101040397",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "VA",
"license": "0101040397",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "VA",
"license": "0101040397",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101040397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0126246P05",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295899953",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Alan.Rolfe@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "8505 Arlington Blvd Ste 210",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220314630",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.