Individual provider Active NPI

Stephen H Flax, M.D.

  • Dermatology Physician
  • Winchester, VA
National Provider Identifier
1376514596
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101056865 Issued in VA
Practice address
1514 Amherst St
Winchester, VA 22601-2803
Phone
(540) 667-4499
Fax
(540) 722-4172
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 0101056865 VA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 0101056865 VA
Procedural Dermatology Physician 207NS0135X 0101056865 VA
Dermatology Physician 207N00000X 0101056865 VA Primary

Addresses

Primary practice location

1514 Amherst St
Winchester, VA 22601-2803

Mailing address

1514 Amherst St
Winchester, VA 22601-2803
Phone (540) 667-4499

Other identifiers 4

IdentifierTypeStateIssuer
5900003000MedicaidWV
005901570MedicaidVA
000859996OtherWVMTST BCBS
234870OtherVAANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120120000066 VA Practitioner - Dermatology 2365566056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Dermatology PCGroup PAC ID 8527131788, 7 clinicians

Practice addresses (Care Compare)

44121 Leesburg Pike
Suite 210
Ashburn, VA 20147-5667
Phone (703) 726-0070

Hospital & facility affiliations

  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Merit-based Incentive Payment System (MIPS)

Final score
80.14 of 100Reported as group
Quality
58.33
Improvement activities
40
Cost
89.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision125
Removal of skin lesions878
Removal or shaving of skin growth1-10
Skin biopsy240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101056865VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dermatology, P.C. Dermatology CurrentSince Oct 31, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Asthma & Allergy Center of the Northern Shenandoah Valley, Inc. PastSince Sep 1, 2000 Accepting new patients
Maryland Surgical Care PC Past Accepting new patients

Locations

44121 Leesburg Pike
Ste 210
Ashburn, VA 20147
Phone (703) 726-0070

480 W Jubal Early Dr
Ste 230
Winchester, VA 22601
Phone (703) 726-0070

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 2

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1376514596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012803",
            "telephone_number": "540-667-4499",
            "fax_number": "540-722-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012803",
            "telephone_number": "540-667-4499",
            "fax_number": "540-722-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAX",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "VA",
            "license": "0101056865",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "VA",
            "license": "0101056865",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0101056865",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101056865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900003000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005901570",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTST BCBS",
            "identifier": "000859996",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "234870",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.