Individual provider Active NPI

Gayle Debra Masri-Fridling, M.D.

  • Dermatology Physician
  • Vienna, VA
National Provider Identifier
1336267681
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101046431 Issued in VA
Practice address
8320 Old Courthouse Rd
Suite 303
Vienna, VA 22182-3831
Phone
(703) 532-7211
Fax
(703) 534-2874
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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 0101046431 VA Primary

Addresses

Primary practice location

8320 Old Courthouse Rd
Suite 303
Vienna, VA 22182-3831

Mailing address

8320 Old Courthouse Rd
Suite 303
Vienna, VA 22182-3831
Phone (703) 532-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20080228000621 DC Practitioner - Dermatology 1850475807 Reassigns benefits to 1 organization
Practice locations: Vienna, VA
I20240510002802 VA Practitioner - Dermatology 1850475807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Pennsylvania State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

8605 Westwood Ctr Dr
Suite 309
Vienna, VA 22182-2231
Phone (571) 532-0717

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of skin lesions1875
Skin biopsy448

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101046431VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 1, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 1, 2018 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Millennium Medical Center LLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

950 N Glebe Rd
#4000
Arlington, VA 22203

8644 Sudley Rd
#220
Manassas, VA 20110

8320 Old Courthouse Rd
Ste 303
Vienna, VA 22182
Phone (703) 532-0486

8605 Westwood Center Dr
Ste 309
Vienna, VA 22182
Phone (571) 532-0717

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gayle.masri-fridling.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16257/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1336267681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD",
            "address_2": "SUITE 303",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823831",
            "telephone_number": "703-532-7211",
            "fax_number": "703-534-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD",
            "address_2": "SUITE 303",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823831",
            "telephone_number": "703-532-7211",
            "fax_number": "703-534-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASRI-FRIDLING",
        "first_name": "GAYLE",
        "middle_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101046431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.