Liza Alexandra Moore, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101253466 Issued in VA

Practice address

8200 Greensboro Dr Ste 801
MC Lean, VA 22102-4925

Phone

(703) 942-9787

Fax

(703) 563-3824

NPI assigned

Apr 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Liza A McClellan Former name

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

Specialty

Dermatology

Education

Duke University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luxe Dermatology and Aesthetic Center, PLLCGroup PAC ID 6800128034, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as group

Quality

93.89

Improvement activities

40

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 and National Provider Directory roles.

• Luxe Dermatology and Aesthetic Center, PLLC

  • Dermatology Physician
  • MC Lean, VA
  • NPI 1174186100

  DC, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Derm Associates LLC

  • Dermatology Physician
  • Silver Spring, MD
  • NPI 1649271354

  DC, Single Specialty

  Medicare reassignment NPD
• Elizabeth Mitchell Dugan MD LLC

  • Specialist
  • Silver Spring, MD
  • NPI 1588869226

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1730405010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 GREENSBORO DR STE 801",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024925",
            "telephone_number": "703-942-9787",
            "fax_number": "703-563-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GREENSBORO DR STE 801",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024925",
            "telephone_number": "703-942-9787",
            "fax_number": "703-563-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LIZA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101253466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "MCCLELLAN",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Salma Mohamed
• Yara Mohamed
• Hussan Mohammed, M.D.
• Valerie Ann Monks, AU.D.
• Jessica Montoya-Quintana, BSN RN
• Virginia Jones Moore, LPC, PSYD
• Natalia V Moreva, MD
• Iris Morrell, LMT
• Danielle Mortorano, DPT
• Anne Mosimann

• Dermatology Physician in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.