Individual provider Active NPI

Megan Ann Brelsford, D.O.

  • Dermatology Physician
  • Portsmouth, VA
National Provider Identifier
1407085434
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0102202274 Issued in VA
Practice address
620 John Paul Jones Cir
Charette Health Care Center
Portsmouth, VA 23708
Phone
(757) 953-0291
Fax
(757) 953-0862
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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 0102202274 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Charette Health Care Center
Portsmouth, VA 23708

Mailing address

44110 Ashburn Shopping PLZ Unit 237
Ashburn, VA 20147-7912
Phone (703) 687-3105

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
I20180808002779 VA Practitioner - Dermatology 3971851809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verum Cutis Dermatology PLLCGroup PAC ID 0244588176, 5 clinicians

Practice addresses (Care Compare)

19500 Sandridge Way
Suite 320
Leesburg, VA 20176-3695
Phone (703) 687-3105

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as individual
Quality
81.48
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of tissue1-10
Removal of skin lesions608
Removal or shaving of skin growth389
Skin biopsy21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102202274VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verum Cutis Dermatology PLLC Dermatology CurrentSince Aug 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

44110 Ashburn Shopping Plz
Unit 237
Ashburn, VA 20147
Phone (703) 687-3105

19500 Sandridge Way
Ste 320
Leesburg, VA 20176
Phone (703) 687-3105

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00311

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1407085434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44110 ASHBURN SHOPPING PLZ UNIT 237",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477912",
            "telephone_number": "703-687-3105",
            "fax_number": "571-291-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "CHARETTE HEALTH CARE CENTER",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-0291",
            "fax_number": "757-953-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRELSFORD",
        "first_name": "MEGAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102202274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.