Individual provider Active NPI

Bonnie Foster Straka, M.D.

  • Dermatology Physician
  • Charlottesville, VA
National Provider Identifier
1477514834
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101042830 Issued in VA
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

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
070015381OtherVAMEDICARE RAILROAD
700215299OtherVACIGNA
140449OtherVAANTHEM BC/BS
26982700001OtherVASOUTHERN HEALTH
005900310OtherVAVIRGINIA PREMIER
005900310MedicaidVA

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
I20110114000498 VA Practitioner - Dermatology 5698707115 Reassigns benefits to 1 organization

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
Albemarle Dermatology Associates, LLCGroup PAC ID 5698707107, 6 clinicians

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 100Reported as group
Quality
68.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions596
Removal of nail tissue1-10
Removal or shaving of skin growth15
Skin biopsy108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101042830VAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Dermatology Associates, LLC Dermatology CurrentSince Dec 11, 2000 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.

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

Verify at the official NPI Registry.