Individual provider Active NPI

Isabela Tollini Jones, M.D.

  • Dermatology Physician
  • MC Lean, VA
National Provider Identifier
1790041853
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101262561 Issued in VA
Practice address
6849 Old Dominion Dr Ste 340
MC Lean, VA 22101-3791
Phone
(703) 356-5111
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 0101262561 VA
Dermatology Physician 207N00000X 0101262561 VA Primary

Addresses

Primary practice location

6849 Old Dominion Dr Ste 340
MC Lean, VA 22101-3791

Mailing address

6849 Old Dominion Dr Ste 340
MC Lean, VA 22101-3791
Phone (703) 356-5111

Other names 1

  • Dr. Isabela Tollini Wieczorek Former name

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
I20170906002254 DC Practitioner - Dermatology 4385917731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Square Dermatology PLLCGroup PAC ID 2062800279, 3 clinicians

Practice addresses (Care Compare)

3803 Fairfax Dr
Suite 200
Arlington, VA 22203-5860
Phone (703) 881-9117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions196
Removal or shaving of skin growth1-10
Skin biopsy77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLean Neuropsychiatric Treatment Center LLC CurrentSince Jul 24, 2022 Accepting new patients
Virginia Square Dermatology PLLC Dermatology CurrentSince Oct 1, 2021 Accepting new patients
McLean Dermatology and Skincare Center CurrentSince Aug 14, 2017 Accepting new patients
Potomac Dermatology and Skincare Center Dermatology PastSince Mar 20, 2022 Accepting new patients

Locations

3803 Fairfax Dr
Ste 200
Arlington, VA 22203
Phone (703) 881-9117

6849 Old Dominion Dr
Ste 450
McLean, VA 22101
Phone (703) 356-5111

6849 Old Dominion Dr
Ste 340
McLean, VA 22101
Phone (703) 356-5111

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00314

Organizations & group practices 4

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790041853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 OLD DOMINION DR STE 340",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013791",
            "telephone_number": "703-356-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 OLD DOMINION DR STE 340",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013791",
            "telephone_number": "703-356-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ISABELA",
        "middle_name": "TOLLINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0101262561",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101262561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELA",
            "last_name": "WIECZOREK",
            "middle_name": "TOLLINI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.