Ali A Damavandy, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

0101260257 Issued in VA

Practice address

6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540

Phone

(703) 992-9211

Fax

(833) 550-1728

NPI assigned

May 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

George Washington University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

District Dermatology PLLCGroup PAC ID 9537420146, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00102

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.

• District Dermatology, PLLC

  • Dermatology Physician
  • MC Lean, VA
  • NPI 1578079620

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Physicians' Ai Mid-Atlantic, PLLC

  • Internal Medicine Physician
  • MC Lean, VA
  • NPI 1750173258

  Mohs-Micrographic Surgery

  NPD Authorized official
• Advanced Ears Nose and Throat LLC

  • Otolaryngology Physician
  • Newark, DE
  • NPI 1154445559
  NPD (past)
• Elizabeth Mitchell Dugan MD LLC

  • Specialist
  • Silver Spring, MD
  • NPI 1588869226
  NPD (past)

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1376836668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 WHITTIER AVE STE 101",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014540",
            "telephone_number": "703-798-0610",
            "fax_number": "833-550-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 WHITTIER AVE STE 101",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014540",
            "telephone_number": "703-992-9211",
            "fax_number": "833-550-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMAVANDY",
        "first_name": "ALI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101260257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Casey Curls, BCBA, LBA
• Cypress Physical Therapy LLC
• Maria Gabriella D'Agostino, LPC-R, ATR-P
• Pemmaraju Saleena Dakin, M.D.
• Elizabeth Jordan Daly, PHD
• David G Daniel, M.D,
• Edward Danoff
• Chelsea Darby, MS CFY-SLP
• Christon Darden, MD
• Dare2Care4Elder, LLC

• All providers in MC Lean, VA
• MOHS-Micrographic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.

Verify at the official NPI Registry.