Simone A McKitty, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C127807 Issued in CA

Practice address

4660 Kenmore Ave
Ste 500
Alexandria, VA 22304-1300

Phone

(703) 370-0073

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

General Practice

Education

Georgetown University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simone a McKitty MD IncGroup PAC ID 0941522635, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simone a McKitty MD Inc

  • Dermatology Physician
  • Torrance, CA
  • NPI 1154723625
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1730280298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "STE 442",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054882",
            "telephone_number": "310-530-5451",
            "fax_number": "310-530-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "STE 500",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041300",
            "telephone_number": "703-370-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKITTY",
        "first_name": "SIMONE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C127807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric McKelvey, PHARMD
• Nancy McKenna, PH.D.
• Naomi Elecia McKensie, RDN
• Paula A McKenzie, MD
• Shinavia McKinney
• Felicia Teona McKnight Gray
• Alice McKnight, MD
• Melissa R McKnight, LCSW
• McLaren Medical Center PC
• Czarina McLaughlin-Young, PA-C

• Dermatology Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.