Individual provider Active NPI

Brett Douglas Krasner, M.D.

  • Dermatology Physician
  • Charlottesville, VA
National Provider Identifier
1386612547
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101237413 Issued in VA
Practice address
215 Wayles LN Ste 150
Charlottesville, VA 22911-4631
Phone
(434) 964-9500
Fax
(434) 964-9501
NPI assigned
Mar 14, 2006
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 0101237413 VA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 0101237413 VA
Procedural Dermatology Physician 207NS0135X 0101237413 VA
Dermatology Physician 207N00000X 0101237413 VA Primary

Addresses

Primary practice location

215 Wayles LN Ste 150
Charlottesville, VA 22911-4631

Mailing address

215 Wayles LN Ste 150
Charlottesville, VA 22911-4631
Phone (434) 964-9500

Other identifiers 2

IdentifierTypeStateIssuer
178139OtherBCBS
010163226MedicaidVA

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
I20050621000263 VA Practitioner - Dermatology 8921073768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Dermatology of Albemarle PLCGroup PAC ID 9931144037, 3 clinicians

Practice addresses (Care Compare)

215 Wayles Lane
Suite 150
Charlottesville, VA 22911-4631
Phone (434) 964-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.03 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision92
Removal of skin lesions1502
Removal or shaving of skin growth138
Skin biopsy348

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dermatology of Albemarle PLC Dermatology CurrentSince Mar 31, 2005 Accepting new patients

Locations

215 Wayles Ln
Ste 150
Charlottesvle, VA 22911
Phone (434) 964-9500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAIAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAIAAA/Endpoint/EAIAAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1386612547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WAYLES LN STE 150",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114631",
            "telephone_number": "434-964-9500",
            "fax_number": "434-964-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WAYLES LN STE 150",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114631",
            "telephone_number": "434-964-9500",
            "fax_number": "434-964-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNER",
        "first_name": "BRETT",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "VA",
            "license": "0101237413",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "VA",
            "license": "0101237413",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0101237413",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101237413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "178139",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010163226",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.