Individual provider Active NPI

Michele Zerah Magnino, MD

  • Dermatology Physician
  • Fairfax, VA
National Provider Identifier
1497173512
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101266253 Issued in VA
Practice address
3025 Hamaker CT Ste 300
Fairfax, VA 22031-2237
Phone
(703) 849-8036
Fax
(703) 204-3448
NPI assigned
Apr 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 0101266253 VA Primary

Addresses

Primary practice location

3025 Hamaker CT Ste 300
Fairfax, VA 22031-2237

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

3025 Hamaker Ct Ste 340
Fairfax, VA 22031-2237
Phone (703) 849-8036

Other practice location 2

8301 Old Courthouse Rd
Vienna, VA 22182-3804
Phone (703) 442-0300

Other names 1

  • Dr. Michele Zerah Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Michele.Magnino@forefrontdermatology.emadirect.md
Direct Messaging Address Michele.Magnino@forefrontdermatology.emadirect.md
Direct Messaging Address Michele.Magnino@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20190724003909 DC Practitioner - Dermatology 6507192846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

3025 Hamaker CT
Fairfax, VA 22031-2237
Phone (703) 849-8036

8301 Old Courthouse Rd
Vienna, VA 22182-3804
Phone (703) 442-0300

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision140
Removal of tissue1-10
Removal of skin lesions1183
Removal of nail tissue1-10
Removal or shaving of skin growth32
Skin biopsy320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 1, 2019 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 1, 2019 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

3025 Hamaker Ct
Ste 300
Fairfax, VA 22031
Phone (703) 661-9189

3025 Hamaker Ct
Ste 340
Fairfax, VA 22031
Phone (703) 849-8036

8505 Arlington Blvd
Ste 210
Fairfax, VA 22031
Phone (703) 846-0076

8301 Old Courthouse Rd
Vienna, VA 22182
Phone (703) 442-0300

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: michele.magnino@forefrontdermatology.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1497173512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312237",
            "telephone_number": "703-849-8036",
            "fax_number": "703-204-3448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Hamaker Ct Ste 340",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312237",
            "country_code": "US",
            "telephone_number": "703-849-8036",
            "fax_number": "703-204-3448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 Old Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823804",
            "country_code": "US",
            "telephone_number": "703-442-0300",
            "fax_number": "703-442-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNINO",
        "first_name": "MICHELE",
        "middle_name": "ZERAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-05",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101266253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michele.Magnino@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8301 Old Courthouse Rd",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221823804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michele.Magnino@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3025 Hamaker Ct Ste 300",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michele.Magnino@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3025 Hamaker Ct Ste 340",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "ZERAH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.