Individual provider Active NPI

Missale L Mesfin, MD

  • MOHS-Micrographic Surgery Physician
  • Springfield, VA
National Provider Identifier
1679690333
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
0101254850 Issued in VA
Practice address
5501 Backlick Rd Ste 110&120
Springfield, VA 22151-3933
Phone
(703) 705-7505
Fax
(866) 990-3880
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.097489 OH
MOHS-Micrographic Surgery Physician 207ND0101X 0101254850 VA Primary
Procedural Dermatology Physician 207NS0135X 0101254850 VA
Dermatology Physician 207N00000X 4301088709 MI
Dermatology Physician 207N00000X 0101254850 VA

Addresses

Primary practice location

5501 Backlick Rd Ste 110&120
Springfield, VA 22151-3933

Mailing address

5501 Backlick Rd Ste 120
Springfield, VA 22151-3940
Phone (703) 705-7505

Other practice location 1

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MM4338@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
I20140603001143 DC Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - DermatologyPractitioner - Other (Physician) 4789879966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Michigan Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Mohs Surgery Center, LLCGroup PAC ID 2860720059, 5 clinicians
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

5501 Backlick Rd
Suite 110
Springfield, VA 22151-3940
Phone (703) 705-7505

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

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) excision61
Removal of skin lesions85
Removal of skin cancer826
Removal of nail tissue1-10
Skin biopsy43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088709MIMDDermatology Physician
35.097489OHMDDermatology Physician
0101254850VAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Mohs Surgery Center, LLC Mohs-Micrographic Surgery CurrentSince Sep 1, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Sep 24, 2018 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Sep 24, 2018 Accepting new patients
Charles B Toner MD PA Mohs-Micrographic Surgery PastSince Sep 1, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

5501 Backlick Rd
Ste 120
Springfield, VA 22151
Phone (301) 966-7744

5501 Backlick Rd
Ste 110
Springfield, VA 22151
Phone (703) 705-7505

5501 Backlick Rd
Ste 110120
Springfield, VA 22151
Phone (703) 705-7505

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: mmesfin@directaddress.net
  • Direct secure messaging: mm4338@forefrontdermatology.emadirect.md

Organizations & group practices 5

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1679690333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD STE 120",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513940",
            "telephone_number": "703-705-7505",
            "fax_number": "866-990-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD STE 110&120",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513933",
            "telephone_number": "703-705-7505",
            "fax_number": "866-990-3880"
        }
    ],
    "practiceLocations": [
        {
            "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": "MESFIN",
        "first_name": "MISSALE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.097489",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101254850",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0101254850",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301088709",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101254850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MM4338@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8301 Old Courthouse Rd",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.