Individual provider Active NPI

Lindsay Louise Kidd, M.D.

  • Dermatology Physician
  • Charlottesville, VA
National Provider Identifier
1396183422
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101262979 Issued in VA
Practice address
215 Wayles LN Ste 150
Charlottesville, VA 22911-4631
Phone
(434) 964-9500
Fax
(434) 964-9501
NPI assigned
Jun 11, 2013
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101262979 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

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
I20170929000532 VA Practitioner - Dermatology 7719252857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
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) excision99
Removal of skin lesions1533
Removal or shaving of skin growth89
Skin biopsy392

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Dermatology, P.C. CurrentSince Sep 5, 2017 Accepting new patients
Family Dermatology of Albemarle PLC Dermatology CurrentSince Aug 1, 2022 Accepting new patients

Locations

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

1600 N Coalter St
Ste 19
Staunton, VA 24401
Phone (540) 885-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAIAAA
  • Direct secure messaging: lindsay.kidd.1@20955.direct.athenahealth.com

Organizations & group practices 2

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1396183422",
    "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": "KIDD",
        "first_name": "LINDSAY",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101262979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.