Active NPI
Bonnie Foster Straka, M.D.
- Dermatology Physician
- Charlottesville, VA
National Provider Identifier
1477514834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101042830
- Practice address
- 3350 Berkmar Drive
Charlottesville, VA 22901 - Phone
- (434) 923-4651
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 0101042830 | VA | |
| Dermatology Physician | 207N00000X | 0101042830 | VA | Primary |
Addresses
Primary practice location
3350 Berkmar Drive
Charlottesville, VA 22901
Mailing address
3350 Berkmar Dr
Charlottesville, VA 22901-1491
Phone (434) 923-4651
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070015381 | Other | VA | MEDICARE RAILROAD |
| 700215299 | Other | VA | CIGNA |
| 140449 | Other | VA | ANTHEM BC/BS |
| 26982700001 | Other | VA | SOUTHERN HEALTH |
| 005900310 | Other | VA | VIRGINIA PREMIER |
| 005900310 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Connecticut School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3350 Berkmar Dr
Charlottesville, VA 22901-1491
Phone (434) 923-4651
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.35 of 100
- Quality
- 68.69
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 28 |
| Removal of skin lesions | 596 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 15 |
| Skin biopsy | 108 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101042830 | VA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Dermatology Associates, LLC | Dermatology | Current | Accepting new patients |
Locations
3350 Berkmar Dr
Charlottesvle, VA 22901
Phone (434) 923-4651
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 and National Provider Directory roles.
-
- Dermatology Physician
- Charlottesville, VA
- NPI 1801973169
Dermatology, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1477514834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 BERKMAR DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011491",
"telephone_number": "434-923-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 BERKMAR DRIVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22901",
"telephone_number": "434-923-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAKA",
"first_name": "BONNIE",
"middle_name": "FOSTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "VA",
"license": "0101042830",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101042830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "070015381",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "700215299",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "140449",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "26982700001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER",
"identifier": "005900310",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005900310",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.