Lily Talakoub, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01012445533 Issued in VA

Practice address

6849 Old Dominion Dr Ste 450
MC Lean, VA 22101-3718

Phone

(703) 356-5111

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Boston University School of Medicine, 2005

Medicare assignment

May accept Medicare assignment

Group practices

McLean Dermatology and Skincare CenterGroup PAC ID 4789867599, 3 clinicians

Potomac Dermatology and Skincare CenterGroup PAC ID 4486028784, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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.

• McLean Dermatology and Skincare Center

  • Medical Specialty Clinic/Center
  • MC Lean, VA
  • NPI 1255645776

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Potomac Dermatology and Skincare Center

  • Dermatology Physician
  • Potomac, MD
  • NPI 1215685896

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• FDL Dermatology, PLLC

  • Dermatology Physician
  • Arlington, VA
  • NPI 1952593832
  NPD (past)
• Center for Dermatology and Dermatologic Surgery Management, LLC

  • Procedural Dermatology Physician
  • Annapolis, MD
  • NPI 1508103011
  NPD (past)
• Knight MD Incorporated

  • Critical Care Medicine (Internal Medicine) Physician
  • Kentfield, CA
  • NPI 1740422427
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  Care Compare affiliation
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1316008212
  Care Compare affiliation
• Fairview Health Services

  • Skilled Nursing Facility
  • Minneapolis, MN
  • NPI 1669459913

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1801929773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 OLD DOMINION DR STE 450",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013718",
            "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 450",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013718",
            "telephone_number": "703-356-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9812 Falls Rd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208543976",
            "country_code": "US",
            "telephone_number": "703-356-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAKOUB",
        "first_name": "LILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A97076",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD038076",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "01012445533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Hameed Syed, MD (MBBS)
• Nava Szwergold, PT, DPT
• Christine Anne Tagayun, MD, MS
• Matindokht Taheri, FNP
• Saeed Taheri, M.D.
• Anil Taneja, MD
• Tara Mind Inc
• Samir Vinodrai Tarpara, M.D.
• Kambiz Tavana, RBT
• Kayla Taylor, ATC

• 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 Jun 25, 2025; 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.