Alexandra Kazakis, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101040814 Issued in VA

Practice address

3022 Williams Dr
Suite 101
Fairfax, VA 22031-4600

Phone

(703) 573-5252

Fax

(703) 573-5254

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

University of Virginia School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1386736288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 WILLIAMS DR",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314600",
            "telephone_number": "703-573-5252",
            "fax_number": "703-573-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 WILLIAMS DR",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314600",
            "telephone_number": "703-573-5252",
            "fax_number": "703-573-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZAKIS",
        "first_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101040814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B274",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pankaj Kaushal, M.D.
• Kavitha K Nakka, MD Inc.
• Denise Kavleski
• Jacqueline Melissa Kay, ATC
• Dawn Bressler Kaye, LCSW
• Kcyc Corp
• Kelsey Keane, LPC
• James Ward Kearney, ATC
• Renee Lea Keast, MSN,FNP-BC
• Kristine Keding

• Dermatology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.