Individual provider Active NPI

Matthew Ross Livingood, M.D.

  • Dermatology Physician
  • Arlington, VA
National Provider Identifier
1770926255
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101262483 Issued in VA
Practice address
801 N Quincy St Ste 210
Arlington, VA 22203-1999
Phone
(703) 259-9561
Fax
(703) 259-9561
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD045252 DC
Dermatology Physician 207N00000X 0101262483 VA Primary

Addresses

Primary practice location

801 N Quincy St Ste 210
Arlington, VA 22203-1999

Mailing address

801 N Quincy St Ste 210
Arlington, VA 22203-1999
Phone (202) 259-9561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170925000019 DC Practitioner - Dermatology 1355644832 Reassigns benefits to 2 organizations
I20200902002663 VA Practitioner - Dermatology 1355644832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Dermatology, PLLCGroup PAC ID 7517373699, 4 clinicians

Practice addresses (Care Compare)

801 N Quincy St
Suite 210
Arlington, VA 22203-1999
Phone (703) 259-9561

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions324
Removal or shaving of skin growth22
Skin biopsy77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Associates LLC Dermatology CurrentSince Aug 1, 2020 Accepting new patients
Arlington Dermatology, PLLC Dermatology CurrentSince May 1, 2021 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients

Locations

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

801 N Quincy St
Ste 210
Arlington, VA 22203
Phone (703) 259-9561

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

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

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1770926255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N QUINCY ST STE 210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031999",
            "telephone_number": "202-259-9561",
            "fax_number": "703-259-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N QUINCY ST STE 210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031999",
            "telephone_number": "703-259-9561",
            "fax_number": "703-259-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGOOD",
        "first_name": "MATTHEW",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD045252",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101262483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.