The Skinstitute

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101235906 Issued in VA

Legal business name

THE SKINSTITUTE

Practice address

19465 Deerfield Ave Ste 201
Leesburg, VA 20176-1703

Phone

(703) 914-3603

Fax

(703) 914-3604

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Smeena Khan, MDNPI 1922108521

Title

Owner

Phone

(571) 246-2891

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Smeena Khan, M.D.

  • Dermatology Physician
  • Lansdowne, VA
  • NPI 1922108521
  Medicare reassignment Care Compare group Authorized official
• Alexandria Michelle Herbek, PA-C

  • Medical Physician Assistant
  • Warrenton, VA
  • NPI 1528522232
  Medicare reassignment Care Compare group
• Ashley K Holbrook, PA-C

  • Physician Assistant
  • Falls Church, VA
  • NPI 1659903573
  Medicare reassignment Care Compare group
• Jane T Nguyen, M.D.

  • Dermatology Physician
  • Lansdowne, VA
  • NPI 1275585473
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1396973053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 201",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761703",
            "telephone_number": "703-914-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 201",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761703",
            "telephone_number": "703-914-3603",
            "fax_number": "703-914-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SKINSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SMEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-246-2891",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101235906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Retina Group of Washington, PLLC
• The Williams Center for Health and Community Education
• Therapy Loudoun, LLC
• Dorothy Thibault, LCSW
• Natascha Michele Thomas
• Aisha Thompson, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.