Active NPI
Teresa Jean Nasabzadeh, M.D.
- Dermatology Physician
- Alexandria, VA
National Provider Identifier
1376860783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101257821
- Practice address
- 4660 Kenmore Ave
Suite 500
Alexandria, VA 22304-1313 - Phone
- (703) 370-0073
- NPI assigned
- Apr 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101257821 | VA | Primary |
Addresses
Primary practice location
4660 Kenmore Ave
Suite 500
Alexandria, VA 22304-1313
Mailing address
4660 Kenmore Ave
Suite 500
Alexandria, VA 22304-1313
Phone (703) 370-0073
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Georgetown University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1886 Metro Ctr Dr
Suite 650
Reston, VA 20190-5294
Phone (703) 437-7744
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 567 |
| Skin biopsy | 212 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101257821 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Dermatology of Reston, LLC | Dermatology | Current | Accepting new patients |
Locations
11315 Sunset Hills Rd
Reston, VA 20190
Phone (703) 437-7744
1886 Metro Center Dr
Ste 650
Reston, VA 20190
Phone (703) 437-7744
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1376860783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "SUITE 500",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-370-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "SUITE 500",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-370-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASABZADEH",
"first_name": "TERESA",
"middle_name": "JEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-24",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101257821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.