Individual provider Active NPI

Rana Michelle Hassan, PA-C

  • Medical Physician Assistant
  • Ashburn, VA
National Provider Identifier
1508993833
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110001718 Issued in VA
Practice address
45155 Research PL
Suite 140
Ashburn, VA 20147-4191
Phone
(703) 858-0500
Fax
(703) 858-5155
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110001718 VA Primary
Medical Physician Assistant 363AM0700X C0002771 MD

Addresses

Primary practice location

45155 Research PL
Suite 140
Ashburn, VA 20147-4191

Mailing address

5506 Ridgeton Hill CT
Fairfax, VA 22032-4027
Phone (703) 304-0825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040218000703 DC Practitioner - Physician Assistant 0244125227 Reassigns benefits to 1 organization
I20081204000698 VA Practitioner - Physician Assistant 0244125227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Maryland PCGroup PAC ID 9931489804, 43 clinicians
Advanced Dermatology of Virginia IncGroup PAC ID 9436438538, 27 clinicians

Practice addresses (Care Compare)

14995 Shady Grove Rd
Suite 150
Rockville, MD 20850-8732
Phone (239) 465-4916

2401 Research Blvd
Suite 260
Rockville, MD 20850-3261
Phone (301) 990-6565

419 Holiday CT
Warrenton, VA 20186-4372
Phone (540) 878-5781

45155 Research PL
Suite 140
Ashburn, VA 20147-4193
Phone (703) 858-0500

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
78.27
Promoting interoperability
91
Improvement activities
20
Cost
74.08

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002771MDMDMedical Physician Assistant
0110001718VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC CurrentSince Apr 1, 2022 Accepting new patients
Advanced Dermatology of Maryland PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

14995 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (301) 358-5919

2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565

45155 Research Pl
Ste 140
Ashburn, VA 20147
Phone (703) 858-0500

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1508993833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 RIDGETON HILL CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220324027",
            "telephone_number": "703-304-0825",
            "fax_number": "703-641-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45155 RESEARCH PL",
            "address_2": "SUITE 140",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474191",
            "telephone_number": "703-858-0500",
            "fax_number": "703-858-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "RANA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001718",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.