Individual provider Active NPI

Madeleine Gabrielle Sowash, MD

  • Dermatology Physician
  • Arlington, VA
National Provider Identifier
1538664347
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101278222 Issued in VA
Practice address
1525 Wilson Blvd Ste 100&125
Arlington, VA 22209-2411
Phone
(703) 966-7127
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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 0101278222 VA Primary

Addresses

Primary practice location

1525 Wilson Blvd Ste 100&125
Arlington, VA 22209-2411

Mailing address

1525 Wilson Blvd Ste 100&125
Arlington, VA 22209-2411
Phone (703) 966-7127

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
I20231104000071 DC Practitioner - Dermatology 6305293986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skindc PLLCGroup PAC ID 1557645140, 7 clinicians

Practice addresses (Care Compare)

1525 Wilson Blvd
Suite 125
Arlington, VA 22209-2470
Phone (703) 966-7127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions91
Skin biopsy35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skindc PLLC Dermatology CurrentSince Sep 12, 2023 Accepting new patients

Locations

1525 Wilson Blvd
Ste 125
Arlington, VA 22209
Phone (703) 214-6496

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1538664347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WILSON BLVD STE 100&125",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092411",
            "telephone_number": "703-966-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 WILSON BLVD STE 100&125",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092411",
            "telephone_number": "703-966-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWASH",
        "first_name": "MADELEINE",
        "middle_name": "GABRIELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101278222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.