Individual provider Active NPI

Fiona Shaw

  • Dermatology Physician
  • Fairfax, VA
National Provider Identifier
1710341870
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101275785 Issued in VA
Practice address
8316 Arlington Blvd Ste 400
Fairfax, VA 22031-5216
Phone
(703) 832-9176
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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 0101275785 VA Primary

Addresses

Primary practice location

8316 Arlington Blvd Ste 400
Fairfax, VA 22031-5216

Mailing address

5310 Harvest Hill Rd Ste 290
Dallas, TX 75230-5826
Phone (214) 420-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220901003165 VA Practitioner - Dermatology 3870831472 Reassigns benefits to 1 organization
I20220906000444 MD Practitioner - Dermatology 3870831472 Reassigns benefits to 1 organization
I20220906000655 DC Practitioner - Dermatology 3870831472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

21495 Ridgetop Cir
Suite 105
Sterling, VA 20166-6512
Phone 21442006507537

8316 Arlington Blvd
Fairfax, VA 22031-5216
Phone (703) 641-0083

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions188
Removal or shaving of skin growth1-10
Skin biopsy92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101275785VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Associates LLC Dermatology CurrentSince Oct 1, 2022 Accepting new patients
Annapolis Dermatology Center, PA Dermatology PastSince Jan 11, 1999 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients

Locations

71 Old Mill Bottom Rd N
Ste 300
Annapolis, MD 21409
Phone (301) 681-7000

10313 Georgia Ave
Ste 309
Silver Spring, MD 20902
Phone (301) 681-4368

13880 Braddock Rd
Ste 301
Centreville, VA 20121
Phone (703) 222-2273

8316 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (703) 205-1919

21495 Ridgetop Cir
Sterling, VA 20166
Phone (540) 514-5396

21495 Ridgetop Cir
Ste 105
Sterling, VA 20166
Phone (214) 420-0650

Interoperability endpoints

  • Direct secure messaging: fshaw@usdp7.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.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1710341870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305826",
            "telephone_number": "214-420-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315216",
            "telephone_number": "703-832-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "FIONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101275785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.