Individual provider Active NPI

Marjan Yousefi

  • Dermatology Physician
  • Vienna, VA
National Provider Identifier
1770742249
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101243049 Issued in VA
Practice address
8100 Boone Blvd Ste 250
Vienna, VA 22182-2642
Phone
(703) 255-5070
Fax
(703) 525-5802
NPI assigned
Jun 9, 2008
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101243049 VA Primary
Dermatology Physician 207N00000X D0067082 MD
Dermatology Physician 207N00000X MD035113 DC

Addresses

Primary practice location

8100 Boone Blvd Ste 250
Vienna, VA 22182-2642

Mailing address

8100 Boone Blvd Ste 250
Vienna, VA 22182-2642
Phone (703) 255-5070

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
I20090112000737 DC Practitioner - Dermatology 9638232077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
George Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marjan Yousefi MD PCGroup PAC ID 2365505708, 3 clinicians

Practice addresses (Care Compare)

8230 Boone Blvd
Suite 430
Vienna, VA 22182-2646
Phone (703) 255-5070

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions610
Removal or shaving of skin growth71
Skin biopsy76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD035113DCMDDermatology Physician
D0067082MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marjan Yousefi, M.D., P.C. Dermatology CurrentSince Dec 29, 2008 Accepting new patients

Locations

2300 N Pershing Dr
Ste 204
Arlington, VA 22201
Phone (703) 255-5070

8100 Boone Blvd
Ste 250
Vienna, VA 22182
Phone (571) 378-0780

8230 Boone Blvd
Ste 430
Vienna, VA 22182
Phone (202) 361-7871

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1770742249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 BOONE BLVD STE 250",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822642",
            "telephone_number": "703-255-5070",
            "fax_number": "703-525-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 BOONE BLVD STE 250",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822642",
            "telephone_number": "703-255-5070",
            "fax_number": "703-525-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFI",
        "first_name": "MARJAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101243049",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0067082",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD035113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.